PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH (NPI# 1073999439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073999439 |
| Entity Type | Organization |
| Organization Name | PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH |
| Practice Address |
10 Lakeside Way Apt 511 Newnan GA 30265-1160 |
| Mailing Address |
122 Gordon Commercial Dr Ste C Lagrange GA 30240-5754 |
| Practice Telephone | 7066721118 |
| Practice Fax Number | 7066721918 |
| Mailing Telephone | 7068454045 |
| Mailing Fax Number | 7068454341 |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |
| Authorized Official Name | TRACY HART (BILLING MANAGER) |
| Authorized Official Telephone | 7068454045 |
| Is Organization Subpart | Y |
| Parent Organization Name | PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000599332CN | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659740041 | Pathways Center for Behavioral and Developmental Growth | Day Training, Developmentally Disabled Services | 999 W Main St Apt B, Manchester, GA 31816-1587 | 2015-09-16 |
| 1073994182 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 102 Corporate Park Drive East, Lagrange, GA 30241 | 2015-06-15 |
| 1013289255 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 52 Perry St, Newnan, GA 30263 | 2012-02-03 |
| 1992036685 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 756 Woodbury Rd, Greenville, GA 30222-1514 | 2010-01-20 |
| 1427225655 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 1710 Highway 16 W, Griffin, GA 30223-7107 | 2008-05-16 |
| 1609075886 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 300 West 7th Street, West Point, GA 31833 | 2007-07-17 |
| 1588797799 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 122 Gordon Commercial Drive, Suite C, Lagrange, GA 30240-5740 | 2007-03-14 |
| 1124183082 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 101 Commerce Plaza, Suite 3, Barnesville, GA 30204-1680 | 2006-12-22 |
| 1881758662 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 74 Hospital Rd, Newnan, GA 30263-1210 | 2006-12-19 |
| 1760546543 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 153 Independence Drive, Carrollton, GA 30116-9000 | 2006-12-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 |
| Street Address |
10 LAKESIDE WAY APT 511 |
| City | NEWNAN |
| State | GA |
| Zip Code | 30265-1160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1225652936 | Jerrica Conyers | Nurse Practitioner | 1635 Highwat 34 East Suite C, Newnan, GA 30265 | 2020-05-29 |
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
| 1518528116 | Stepping Stones Psychiatric Care LLC | Nurse Practitioner | 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 | 2019-06-25 |
| 1356823363 | Stephen William Jacon | Specialist/Technologist | 29 Muirfield Court, Newnan, GA 30265 | 2018-09-05 |
| 1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
| 1548790769 | Timothy Collins | Physical Therapist | 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 | 2017-06-20 |
| 1497289748 | Edible Health & Wellness,llc | Clinic/Center | 90f Glenda Trace Pmb 318, Newnan, GA 30265 | 2017-04-13 |
| Find all providers in zip 30265 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114087814 | Georgia Association for Retarded Citizens Inc Newnan Coweta Assn | Day Training, Developmentally Disabled Services | 55 Millard Farmer Industrial Boulevard, Newnan, GA 30263 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482397 | A Better Life Together, Inc | Day Training, Developmentally Disabled Services | 3343 Woodshade Drive, Loganville, GA 30052 | 2020-09-18 |
| 1225643653 | Auesome Achiever LLC | Day Training, Developmentally Disabled Services | 601 Alcovy St, Monroe, GA 30655-2145 | 2020-09-11 |
| 1457962797 | Southeastern Support Care Services LLC | Day Training, Developmentally Disabled Services | 3523 Fuller St, Columbus, GA 31907-2554 | 2020-08-11 |
| 1548870363 | Heart Helping Hands, LLC | Day Training, Developmentally Disabled Services | 1919 Singer Way, Lithonia, GA 30058-5578 | 2020-08-06 |
| 1073121646 | Jo Anne Ragsdale | Day Training, Developmentally Disabled Services | 4916 Lake Park Ln, Acworth, GA 30101-6253 | 2020-07-20 |
| 1447877683 | Jeremy's Place Inc. | Day Training, Developmentally Disabled Services | 4910 Jonesboro Rd Ste 201, Union City, GA 30291-2087 | 2020-07-04 |
| 1457970626 | The J&r Group Ga I Nc. | Day Training, Developmentally Disabled Services | 1910 Wood Valley Rd, Macon, GA 31211-1619 | 2020-04-08 |
| 1497307425 | Bobby Dodd Institute | Day Training, Developmentally Disabled Services | 2120 Marietta Blvd Nw, Atlanta, GA 30318-2122 | 2019-07-10 |
| 1619537453 | Cherryl Miller | Day Training, Developmentally Disabled Services | 1499 Ravenel Rd, Conley, GA 30288-2226 | 2019-06-14 |
| 1821555913 | Community Service Board of Middle Georgia | Day Training, Developmentally Disabled Services | 1444 Morgan Creek Dr, Eastman, GA 31023 | 2019-02-25 |
| Find all providers with the same taxonomy | ||||
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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.