Organization
DEKALB COUNTY BOARD OF HEALTH
Active
Organization
DEKALB COUNTY BOARD OF HEALTH
Active
Parent organization
DEKALB COUNTY BOARD OF HEALTH
Other names
TO Vinson Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEKALB COUNTY BOARD OF HEALTH
Authorized official
LYNN PAXTON MD (DISTRICT DIRECTOR/CEO)
(404) 294-3787
Entity
Organization
Contact information
Practice address
440 WINN WAY, DECATUR, GA 30030-1715
(404) 294-3762
(404) 508-7752
Mailing address
445 WINN WAY, PO BOX 987, DECATUR, GA 30030-1707
(404) 294-3701
(404) 508-7862
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
—
GA
251K00000X
Public Health or Welfare Agency
—
GA
251K00000X
Public Health or Welfare Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
GA
261QF0400X
Federally Qualified Health Center (FQHC)
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000453175E
MEDICAID--PRS
GA
01
—
000456024C
MEDICAID--PCM
GA
01
—
000456563H
MEDICAID--DSPS
GA
01
—
000660657C
MEDICAID--FAMILY PLANNING
GA
01
—
000665145I
MEDICAID--HEALTHCHECK
GA
Enumeration date
09/25/2006
Last updated
05/27/2026
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