BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA (NPI# 1083787287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083787287 |
| Entity Type | Organization |
| Organization Name | BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA |
| Other Organization Name | BERRIEN DD SERVICES |
| Practice Address |
507 Laurel St Nashville GA 31639-2555 |
| Mailing Address |
3120 N Oak Street Ext Ste C Valdosta GA 31602-5910 |
| Practice Telephone | 2296862078 |
| Practice Fax Number | 2296869032 |
| Mailing Telephone | 2296716100 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-05-26 |
| Authorized Official Name | MR. WILLIAM F HULING (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2296716140 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Berrien DD Services | Doing Business As Name - Organization |
| Legacy Behavioral Health Services | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1200 Roundtree St, Quitman, GA 316433712 | 2292637510 | |
| 1644 E Park Ave, Valdosta, GA 316023413 | 2292494900 | |
| 203 Industrial Park Dr, Adel, GA 316203446 | 2298967994 | |
| 391 County Farm Rd, Ashburn, GA 317143413 | 2295673496 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831671973 | Behavioral Health Services of South Georgia | Clinic/Center | 201 W Mcpherson Ave, Nashville, GA 31639-2131 | 2018-09-05 |
| 1528132321 | Behavioral Health Services of South Georgia | Community Based Residential Treatment Facility, Mental Illness | 1 Dellwood Cir, Valdosta, GA 31602-2335 | 2006-11-20 |
| 1912986282 | Behavioral Health Services of South Georgia | Clinic/Center | 3120 N Oak Street Ext, Suite C, Valdosta, GA 31602-1007 | 2006-01-13 |
| 1255875910 | Behavioral Health Services of South Georgia | Community/Behavioral Health | 334 Tifton Eldorado Rd, Tifton, GA 31794-9497 | 2016-12-14 |
| 1083754535 | Behavioral Health Services of South Georgia | Clinic/Center | 3120 N Oak Street Ext Ste C, Valdosta, GA 31602-5910 | 2007-02-07 |
| 1639219181 | Behavioral Health Services of South Georgia | Clinic/Center | 3120 N Oak Street Ext Ste C, Valdosta, GA 31602-5910 | 2007-02-07 |
| 1881734333 | Behavioral Health Services of South Georgia | Clinic/Center | 3120 N Oak Street Ext, Valdosta, GA 31602-1007 | 2007-02-07 |
| 1801932371 | Behavioral Health Services of South Georgia | Clinic/Center | 3120 N Oak Street Ext, Suite C, Valdosta, GA 31602-1007 | 2007-01-30 |
| 1588739601 | Behavioral Health Services of South Georgia | Clinic/Center | 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910 | 2006-11-22 |
| 1396810412 | Behavioral Health Services of South Georgia | Clinic/Center | 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910 | 2006-11-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA | 3120 N Oak Street Ext Ste C, Valdosta, GA 31602-5910 |
| Street Address |
507 LAUREL ST |
| City | NASHVILLE |
| State | GA |
| Zip Code | 31639-2555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528297538 | Jonathan David Wade | Family Medicine | 110 S Jefferson St, Nashville, GA 31639 | 2009-07-11 |
| 1952519449 | Sherrie Lynn Williams | Social Worker | 168 Oak Ridge Dr., Nashville, GA 31639 | 2007-05-18 |
| 1467665208 | Celestine Stiles | Family Medicine | 418 E. Mcpherson Ave, Nashville, GA 31639 | 2007-05-08 |
| 1710056668 | Berrien County Board of Education Program for Exceptional Students | Local Education Agency (LEA) | 909a N Davis St., Nashville, GA 31639 | 2006-11-07 |
| 1487762852 | J H Harvey Co LLC | Durable Medical Equipment & Medical Supplies | 207 Mcpherson St, Nashville, GA 31639 | 2006-08-27 |
| 1427081033 | Quality Homecare Inc | Durable Medical Equipment & Medical Supplies | 711 North Davis St, Nashville, GA 31639 | 2006-07-08 |
| 1619954112 | Richard E Wheeler | Family Medicine | 416a East Mcpherson Ave, Nashville, GA 31639 | 2005-12-27 |
| 1639467038 | Southland-nashville Emergency Services, LLC. | Emergency Medicine | 1221 E Mcpherson Ave, Nashville, GA 31639 | 2011-07-19 |
| 1174189542 | Margaret Williams | Adult Companion | 808 Edgewood St Apt 103, Nashville, GA 31639-1177 | 2019-05-11 |
| 1922557792 | Ssss | Clinic/Center | 902 Pecan St, Nashville, GA 31639-1220 | 2016-09-22 |
| Find all providers in zip 31639 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922653534 | Five Star Education Advocacy Group Inc | Clinic/Center | 978 Fellowship Rd, Fairburn, GA 30213-1789 | 2019-08-09 |
| 1205329687 | Advantage Behavioral Health Systems | Clinic/Center | 638 Michael Cir., Monroe, GA 30655 | 2018-06-11 |
| 1215420690 | Advantage Behavioral Health Systems | Clinic/Center | 1801 Prospect Rd., Madison, GA 30650 | 2018-06-11 |
| 1285149955 | Alicia Gordon | Clinic/Center | 132 Carol Cir, Fitzgerald, GA 31750-8128 | 2017-12-04 |
| 1225567597 | Vincentia Paul-constantin | Clinic/Center | 2867 Country House Lane, Buford, GA 30519 | 2017-06-08 |
| 1598158909 | Musik To Grow | Clinic/Center | 1517 Johnson Ferry Rd, Marietta, GA 30062-6493 | 2015-03-09 |
| 1356692800 | Ridgewood Personal Care Home, Inc | Clinic/Center | 1065 Murray Cir Sw, Marietta, GA 30064-3927 | 2012-09-24 |
| 1790055432 | Trapeze Therapy, LLC | Clinic/Center | 160 Tracy St, Suite A, Athens, GA 30601-1979 | 2012-01-11 |
| 1326316274 | Early/miller Day (now) | Clinic/Center | 302 Damacus Street, Blakely, GA 39823-3346 | 2011-12-07 |
| 1710255773 | Early Miller Personal Support (now) | Clinic/Center | 302 Damascus Street, Blakely, GA 39823-3346 | 2011-12-06 |
| 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.