GEORGIA PINES COMMUNITY SERVICE BOARD (NPI# 1104094358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104094358 |
| Entity Type | Organization |
| Organization Name | GEORGIA PINES COMMUNITY SERVICE BOARD |
| Practice Address |
339 Pride St Pelham GA 31779-5370 |
| 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 |
| 1003084252 | Georgia Pines Community Service Board | Community/Behavioral Health | 503 W Alice St, Bainbridge, GA 39819-4919 | 2008-02-11 |
| 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 |
| Street Address |
339 PRIDE ST |
| City | PELHAM |
| State | GA |
| Zip Code | 31779-5370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376608596 | Georgia Pines Community Service Board | Community/Behavioral Health | 339 Pride St, Pelham, GA 31779-5370 | 2006-12-27 |
| 1104476639 | Shelley Akerman | Counselor | 339 Pride St, Pelham, GA 31779-5370 | 2019-09-17 |
| 1699334821 | Ashley D'antonio | Social Worker | 339 Pride St, Pelham, GA 31779-5370 | 2019-06-11 |
| 1356804231 | Amber Jean Mcentire | Social Worker | 339 Pride St, Pelham, GA 31779-5370 | 2019-04-09 |
| 1548723323 | Rebekah Sharon Elliott | Social Worker | 339 Pride St, Pelham, GA 31779-5370 | 2019-04-09 |
| 1831637123 | Kirsten Infinger | Social Worker | 339 Pride St, Pelham, GA 31779-5370 | 2017-02-07 |
| 1912175167 | Georgia Pines Community Service Board | Community/Behavioral Health | 339 Pride St, Pelham, GA 31779-5370 | 2008-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831689728 | Autry State Prison Pharmacy | Pharmacy | 3178 Mount Zion Church Rd, Pelham, GA 31779 | 2018-05-16 |
| 1851776181 | Thomas & Son Family & Child Resource Center, Inc | Community/Behavioral Health | 113 Mclaughlin Street, Nw, Pelham, GA 31779 | 2015-07-28 |
| 1811922115 | Hayden H Moye | Pharmacist | 162 E Railroad St Se, Pelham, GA 31779 | 2006-07-12 |
| 1295820660 | Hospital Authority of Mitchell County | Skilled Nursing Facility | 608 Dogwood Dr Ne, Pelham, GA 31779-1132 | 2006-10-03 |
| 1326329566 | Mary Elaine Bailey | Nurse Practitioner | 250 Blanton St Ne, Pelham, GA 31779-1138 | 2011-09-01 |
| 1053763961 | Sarah Brooks | Nurse Practitioner | 250 Blanton St Ne, Pelham, GA 31779-1138 | 2016-07-05 |
| 1881960151 | Hospital Authority of Mitchell County | Clinic/Center | 250 Blanton St Ne, Pelham, GA 31779-1138 | 2012-03-30 |
| 1902828205 | B. Bonita Richter | Dentist | 137 Hand Pl, Pelham, GA 31779-1236 | 2006-07-24 |
| 1194790626 | Cynthia Parker Drury | Family Medicine | 167 Hand Ave W, Pelham, GA 31779-1268 | 2006-02-20 |
| 1306046016 | Mitchell County Hospital | Clinic/Center | 167 Hand Ave W, Pelham, GA 31779-1268 | 2007-07-20 |
| Find all providers in zip 31779 | ||||
| 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 |
|---|---|---|---|---|
| 1144761834 | Kimberly S. Williams, LLC | Community/Behavioral Health | 301 Dunrobin Cir, Pelham, AL 35124-6800 | 2017-03-14 |
| 1851776181 | Thomas & Son Family & Child Resource Center, Inc | Community/Behavioral Health | 113 Mclaughlin Street, Nw, Pelham, GA 31779 | 2015-07-28 |
| 1235529553 | Ashley Scalia | Community/Behavioral Health | 17 Township Rd, Pelham, NH 03076-5306 | 2015-01-26 |
| 1235397985 | Complete Family Pastoral Counseling, Inc | Community/Behavioral Health | 2700 Pelham Pkwy, Pelham, AL 35124-1705 | 2008-05-29 |
| 1376608596 | Georgia Pines Community Service Board | Community/Behavioral Health | 339 Pride St, Pelham, GA 31779-5370 | 2006-12-27 |
| 1306459540 | Access Therapy Services, LLC | Community/Behavioral Health | 302 Creekside Ln, Pelham, AL 35124-3981 | 2020-08-27 |
| 1912175167 | Georgia Pines Community Service Board | Community/Behavioral Health | 339 Pride St, Pelham, GA 31779-5370 | 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 | ||||
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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.