COMMUNITY SERVICE BOARD OF MIDDLE GEORGIA (NPI# 1073647905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073647905 |
| Entity Type | Organization |
| Organization Name | COMMUNITY SERVICE BOARD OF MIDDLE GEORGIA |
| Other Organization Name | NORTH JEFFERSON ST ANNEX |
| Practice Address |
600 N Jefferson St Dublin GA 31021-6302 |
| Mailing Address |
2121a Bellevue Rd Dublin GA 31021-2998 |
| Practice Telephone | 4782756800 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT KEITH MORAN (CFO) |
| Authorized Official Telephone | 4782721190 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| North Jefferson St Annex | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821555913 | Community Service Board of Middle Georgia | Day Training, Developmentally Disabled Services | 1444 Morgan Creek Dr, Eastman, GA 31023 | 2019-02-25 |
| 1205357522 | Community Service Board of Middle Georgia | Community/Behavioral Health | 762 Old Millen Hwy, Waynesboro, GA 30830-8808 | 2017-06-28 |
| 1982738811 | Community Service Board of Middle Georgia | Community/Behavioral Health | 2121a Bellevue Rd Bldg 9, Dublin, GA 31021-2998 | 2007-03-15 |
| 1912030008 | Community Service Board of Middle Georgia | Community/Behavioral Health | 410 Lakeside Drive, Mcrae, GA 31055 | 2007-03-14 |
| 1689707150 | Community Service Board of Middle Georgia | Community/Behavioral Health | 417 Louisiana Ave E, Soperton, GA 30457-1126 | 2007-03-14 |
| 1578696928 | Community Service Board of Middle Georgia | Community/Behavioral Health | 2121a Bellevue Rd Bldg 7, Dublin, GA 31021-2998 | 2007-03-14 |
| 1164555744 | Community Service Board of Middle Georgia | Community/Behavioral Health | 621 Plaza Ave, Eastman, GA 31023-6753 | 2007-03-13 |
| 1144741364 | Community Service Board of Middle Georgia | Community/Behavioral Health | 109 Cherry St, Sylvania, GA 30467-6405 | 2017-06-28 |
| 1134640451 | Community Service Board of Middle Georgia | Clinic/Center | 207 N Anderson Dr, Swainsboro, GA 30401-4440 | 2017-06-28 |
| 1285155408 | Community Service Board of Middle Georgia | Community/Behavioral Health | 1202 Old Sylvania Rd, Millen, GA 30442-6758 | 2017-06-28 |
| Street Address |
600 N JEFFERSON ST |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-6302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992839823 | Community Service Board of Middle Georgia | Community/Behavioral Health | 600 N Jefferson St, Dublin, GA 31021-6302 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| 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 |
|---|---|---|---|---|
| 1063902633 | Family Preservation Services Inc | Community/Behavioral Health | 600 Dublap Road, Dublin, VA 24084 | 2018-05-18 |
| 1063916948 | Enabling Recovery LLC | Community/Behavioral Health | 5945 Sawmill Rd Ste B, Dublin, OH 43017 | 2018-03-23 |
| 1033650957 | Honor Your Emotions Inc | Community/Behavioral Health | 7950 Dublin Blvd Ste 206b, Dublin, CA 94568-2937 | 2017-03-10 |
| 1073996245 | Csb Clubhouse | Community/Behavioral Health | 1008 Hillcrest Pkwy, Dublin, GA 31021-4262 | 2015-07-07 |
| 1023496890 | Advocates for Alzheimer's Care, Inc. | Community/Behavioral Health | 611 Bellevue Ave, Dublin, GA 31021-5333 | 2015-05-13 |
| 1750708020 | E & A Cares, LLC | Community/Behavioral Health | 513 Academy Avenue, Dublin, GA 31021 | 2014-03-25 |
| 1508203423 | Family Focus Health Services | Community/Behavioral Health | 122 E Jackson St, Dublin, GA 31021-6114 | 2013-06-01 |
| 1013258409 | C&e Youth Services LLC | Community/Behavioral Health | 600 Dewey St., Dublin, GA 31021 | 2013-03-08 |
| 1134485204 | Anderson Counseling Center | Community/Behavioral Health | 907 Hillcrest Pkwy, Suite E, Dublin, GA 31021-4215 | 2012-04-03 |
| 1083999833 | Positive Path Counseling, LLC | Community/Behavioral Health | 5950 Venture Dr, Dublin, OH 43017-2251 | 2011-10-12 |
| Find all providers in DUBLIN | ||||
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| 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.