GEORGIA MOUNTAIN COMMUNITY SERVICES (NPI# 1184989766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184989766 |
Entity Type | Organization |
Organization Name | GEORGIA MOUNTAIN COMMUNITY SERVICES |
Other Organization Name | AVITA COMMUNITY PARTNERS |
Practice Address |
200 Tomahawk Dr Clarkesville GA 30523-3364 |
Mailing Address |
4331 Thurmond Tanner Parkway Flowery Branch GA 30542-2829 |
Practice Telephone | 6785135720 |
Practice Fax Number | 6785135836 |
Mailing Telephone | 6785135720 |
Mailing Fax Number | 6785135836 |
Enumeration Date | 2012-07-10 |
Last Update Date | 2012-07-10 |
Authorized Official Name | TAMMY THOMPSON (BILLING SPECIALIST) |
Authorized Official Telephone | 6785135720 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | RESIDENTIAL HOME | 000607054CB | 01 |
Other Name | Type Code |
---|---|
Avita Community Partners | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164787743 | Georgia Mountain Community Services | Day Training, Developmentally Disabled Services | 2520 W Dennis Dr, Gainesville, GA 30507-7495 | 2012-07-10 |
1427313006 | Georgia Mountain Community Services | Day Training, Developmentally Disabled Services | 358 Emory Chambers Rd, Lula, GA 30554-3900 | 2012-07-10 |
1902161722 | Georgia Mountain Community Services | Day Training, Developmentally Disabled Services | 603 Shuler Rd, Cleveland, GA 30528-3562 | 2012-07-09 |
1619296522 | Georgia Mountain Community Services | Day Training, Developmentally Disabled Services | 108 13th St, Cumming, GA 30040-2208 | 2010-05-18 |
1770647463 | Georgia Mountain Community Services | Day Training, Developmentally Disabled Services | 3509 Mabry Rd, Gainesville, GA 30504-5755 | 2006-12-20 |
1740343326 | Georgia Mountain Community Services | Day Training, Developmentally Disabled Services | 154 Hart Service Rd, Hartwell, GA 30643-8440 | 2006-12-18 |
1710049663 | Georgia Mountain Community Services | Day Training, Developmentally Disabled Services | 451 Roper Dr, Clarkesville, GA 30523-6617 | 2006-12-15 |
1306178546 | Georgia Mountain Community Services | Day Training, Developmentally Disabled Services | 4331 Thurmon Tanner Rd, Flowery Branch, GA 30542-2829 | 2010-02-12 |
Street Address |
200 TOMAHAWK DR |
City | CLARKESVILLE |
State | GA |
Zip Code | 30523-3364 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295334209 | Mark Alan Beach | Counselor | 320 Victory Home Ln, Clarkesville, GA 30523 | 2020-10-21 |
1619299799 | Leonard Fishman | Specialist | 500 Blue Creek Rd, Clarkesville, GA 30523 | 2010-02-17 |
1710134051 | Cheston Berrong Kimsey, Jr | Dentist | 364 Jefferson St, Clarkesville, GA 30523 | 2008-08-19 |
1558535302 | Dr David S Greene | Optometrist | 337 Madison St, Clarksville, GA 30523 | 2008-04-14 |
1124160049 | Colleen M. Colegrove | Pharmacist | 199 East Louise St, Clarkesville, GA 30523 | 2007-02-14 |
1437290541 | Hope Lucinda Senador | Social Worker | 1423 Washington Street, Suite 210, Clarkesville, GA 30523 | 2007-02-09 |
1326188855 | Clarkesville Counseling & Mediation Services, Inc | Counselor | 695 Washington St, Clarkesville, GA 30523 | 2007-02-07 |
1013057546 | Centerpoint Counseling Services | Social Worker | 1423 Washington St, Ste 202, Clarkesville, GA 30523 | 2007-02-07 |
1588722276 | Regina Ann Boling | Dentist | 5332 Hwy 115, Suite A, Clarkesville, GA 30523 | 2006-12-05 |
1881761450 | Cummings Physical Therapy Services, LLC | Specialist | 1179 Ben Jones Road, Clarkesville, GA 30523 | 2006-11-29 |
Find all providers in zip 30523 |
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 |
---|---|---|---|---|
1093022311 | Georgia Mountains Community Service | Day Training, Developmentally Disabled Services | 915 Fox Valley Road, Clarkesville, GA 30523-8207 | 2010-09-08 |
1245550276 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 116 Clearviewroad, Clarkesville, GA 30523-5852 | 2010-06-01 |
1720307986 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 247 Belladonna Rd, Clarkesville, GA 30523-3196 | 2010-05-26 |
1710049663 | Georgia Mountain Community Services | Day Training, Developmentally Disabled Services | 451 Roper Dr, Clarkesville, GA 30523-6617 | 2006-12-15 |
1861711772 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 451 Roper Dr, Clarkesville, GA 30523-6623 | 2010-05-18 |
1780748863 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 451 Roper Dr, Clarkesville, GA 30523-6617 | 2006-12-21 |
1265596878 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 451 Roper Dr, Clarkesville, GA 30523-6623 | 2006-12-20 |
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 |
City | CLARKESVILLE |
Zip Code | 30523 |
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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.