GEORGIA PINES COMMUNITY SERVICE BOARD (NPI# 1003084252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003084252 |
| Entity Type | Organization |
| Organization Name | GEORGIA PINES COMMUNITY SERVICE BOARD |
| Practice Address |
503 W Alice St Bainbridge GA 39819-4919 |
| Mailing Address |
1102 Smith Ave Thomasville GA 31792-5739 |
| Practice Telephone | 2292254335 |
| Practice Fax Number | 2292254374 |
| Mailing Telephone | 2292254335 |
| Mailing Fax Number | 2292254374 |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-11 |
| Authorized Official Name | ROBERT H JONES (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2292254373 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376042838 | Georgia Pines Community Service Board | Community/Behavioral Health | 105 Bermuda St, Thomasville, GA 31792-4018 | 2018-02-09 |
| 1245739879 | Georgia Pines Community Service Board | Community/Behavioral Health | 407 Cloverdale Drive, Thomasville, GA 31792 | 2018-02-09 |
| 1508906579 | Georgia Pines Community Service Board | Community/Behavioral Health | 212 N Walker St, Quitman, GA 31643-2034 | 2007-02-07 |
| 1114084159 | Georgia Pines Community Service Board | Community/Behavioral Health | 367 Shoreline Dr, Apt A&b, Thomasville, GA 31757-2577 | 2007-01-02 |
| 1831255173 | Georgia Pines Community Service Board | Community/Behavioral Health | 349 Shoreline Drive, Thomasville, GA 31757 | 2006-12-29 |
| 1710043377 | Georgia Pines Community Service Board | Community/Behavioral Health | 525 Cassidy Rd, Thomasville, GA 31792-4028 | 2006-12-28 |
| 1518023373 | Georgia Pines Community Service Board | Community/Behavioral Health | 359 Shoreline Dr, Apt A&b, Thomasville, GA 31757-2577 | 2006-12-28 |
| 1174689756 | Georgia Pines Community Service Board | Community/Behavioral Health | 14244 Us Highway 19 S, Thomasville, GA 31757-4800 | 2006-12-28 |
| 1376608596 | Georgia Pines Community Service Board | Community/Behavioral Health | 339 Pride St, Pelham, GA 31779-5370 | 2006-12-27 |
| 1063577286 | Georgia Pines Community Service Board | Community/Behavioral Health | 1641 N Broad St, Cairo, GA 39828-1160 | 2006-12-27 |
| Street Address |
503 W ALICE ST |
| City | BAINBRIDGE |
| State | GA |
| Zip Code | 39819-4919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841455599 | Dayna Malia Watson | Counselor | 410 West St., Bainbridge, GA 39819 | 2008-07-22 |
| 1740324342 | Jack Hobson Leverett Sr. | Dentist | 1515 Miluli Ave, Bainbridge, GA 39819 | 2007-02-16 |
| 1033212634 | Primary Care Inc | Family Medicine | 315 S Blvd Dr, Bainbridge, GA 39819 | 2006-09-07 |
| 1326060187 | Donald Ray Robinson | Obstetrics & Gynecology | 1501 E Miluli Avenue, Bainbridge, GA 39819 | 2006-07-24 |
| 1255385126 | Linda Jones | Emergency Medicine | 1500 E. Shotwell St., Memorial Hospital & Manor, Bainbridge, GA 39819 | 2006-05-22 |
| 1962464578 | Lillian Ann Crews | Physical Therapy Assistant | 713 East Shotwell St, Bainbridge, GA 39819 | 2006-04-06 |
| 1134181738 | Rachel S Lauder | Physical Therapist | 713 E Shotwell Street, Bainbridge, GA 39819 | 2006-04-06 |
| 1275012015 | Lisa J Sellers | Nurse Practitioner | 509 Wheat Ave, Bainbridge, GA 39819 | 2018-08-13 |
| 1588186324 | Hospital Authority of The City of Bainbridge and Decatur County | Pharmacy | 1500 East Shotwell Street, Bainbridge, GA 39819 | 2017-07-13 |
| 1861531915 | Burke & Robinson Md PC | Obstetrics & Gynecology | 1501 E Miluli Avenue, Bainbridge, GA 39819 | 2007-02-05 |
| Find all providers in zip 39819 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164587374 | Georgia Pines Community Service Board | Community/Behavioral Health | 1005 S Washington St, Bainbridge, GA 39819-4465 | 2006-12-27 |
| 1427594068 | New Beginnings Community Outreach Program Inc | Community/Behavioral Health | 617 S West St, Bainbridge, GA 39819-3915 | 2017-01-06 |
| 1639347883 | Georgia Pines Community Service Board | Community/Behavioral Health | 1005 S Washington St, Bainbridge, GA 39819-4465 | 2008-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376160 | Love, Breanna Olivia Zion Enterprise,llc(lboz): | Community/Behavioral Health | 9802 N Ivy Park Dr, Fortson, GA 31808-7130 | 2020-11-02 |
| 1578170882 | Helping Hearts Behavioral Health Services, LLC | Community/Behavioral Health | 504 Hamlet Dr, Hampton, GA 30228-4829 | 2020-09-30 |
| 1982219523 | Future Seekers, Inc. | Community/Behavioral Health | 3475 N. Desert Drive, Building 1, Suite 2100, East Point, GA 30344-3034 | 2020-09-10 |
| 1396359840 | Just Like Family Caregivers | Community/Behavioral Health | 2628 Lovejoy Crossing St, Hampton, GA 30228-5995 | 2020-09-02 |
| 1285247270 | Hudu Yoga & Therapy | Community/Behavioral Health | 3900 Springleaf Ct, Stone Mountain, GA 30083-4692 | 2020-08-28 |
| 1952914632 | Brighter Dayz, Incorporated | Community/Behavioral Health | 1016 Howell Mill Rd Nw Apt 4408, Atlanta, GA 30318-5592 | 2020-08-24 |
| 1699387688 | Rise Rehabilitation Services, LLC | Community/Behavioral Health | 738 Highland Park Trl, Atlanta, GA 30350-6706 | 2020-08-20 |
| 1104438373 | Pivotal Counseling LLC | Community/Behavioral Health | 75 N Broad St, Winder, GA 30680-1907 | 2020-08-19 |
| 1295347888 | Freemans Early Intervention Services | Community/Behavioral Health | 13 Peach St, Butler, GA 31006 | 2020-08-17 |
| 1861017634 | Trinity Care Counseling | Community/Behavioral Health | 3475 Northwinds Parkway, 200, Alpharetta, GA 30009 | 2020-06-08 |
| Find all providers with the same taxonomy | ||||
| City | BAINBRIDGE |
| Zip Code | 39819 |
Please comment or provide details below to improve the information on GEORGIA PINES COMMUNITY SERVICE BOARD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.