ADVANTAGE BEHAVIORAL HEALTH SYSTEMS (NPI# 1205329687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205329687 |
| Entity Type | Organization |
| Organization Name | ADVANTAGE BEHAVIORAL HEALTH SYSTEMS |
| Practice Address |
638 Michael Cir. Monroe GA 30655 |
| Mailing Address |
250 North Ave Athens GA 30601-2244 |
| Practice Telephone | 7063896789 |
| Practice Fax Number | 7063896768 |
| Mailing Telephone | 7063896789 |
| Mailing Fax Number | 7062277249 |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |
| Authorized Official Name | MR. OLIVER J BOOKER (CEO) |
| Authorized Official Telephone | 7063896789 |
| Is Organization Subpart | Y |
| Parent Organization Name | ADVANTAGE BEHAVIORAL HEALTH SYSTEMS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
GA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215420690 | Advantage Behavioral Health Systems | Clinic/Center | 1801 Prospect Rd., Madison, GA 30650 | 2018-06-11 |
| 1154841989 | Advantage Behavioral Health Systems | Clinic/Center | 130 Mill Center Blvd, Athens, GA 30606 | 2017-06-22 |
| 1942270558 | Advantage Behavioral Health Systems | Clinic/Center | 250 North Ave, Athens, GA 30601-2244 | 2006-01-25 |
| 1700449477 | Advantage Behavioral Health Systems | Clinic/Center | 126 Barrington Dr, Athens, GA 30605-3580 | 2019-04-18 |
| 1376035444 | Advantage Behavioral Health Systems | Clinic/Center | 240 Mitchell Bridge Rd, Athens, GA 30606-2043 | 2018-06-04 |
| 1841782927 | Advantage Behavioral Health Systems | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 240 Mitchell Bridge Rd, Athens, GA 30606-2043 | 2018-06-04 |
| 1225579758 | Advantage Behavioral Health Systems | Clinic/Center | 240 Mitchell Bridge Rd, Athens, GA 30606 | 2017-03-16 |
| 1780030668 | Advantage Behavioral Health Systems | Counselor | 240 North Ave, Athens, GA 30601-2244 | 2016-05-10 |
| 1588089379 | Advantage Behavioral Health Systems | Substance Abuse Rehabilitation Facility | 250 North Ave, Athens, GA 30601-2244 | 2014-03-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ADVANTAGE BEHAVIORAL HEALTH SYSTEMS | 250 Bray St, Athens, GA 30601-2203 |
| Street Address |
638 MICHAEL CIR. |
| City | MONROE |
| State | GA |
| Zip Code | 30655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968149 | Coresa Hawanis Thomas | Counselor | Advantage Behavioral Health, 384 State Hwy 11 Sw, Walton, GA 30655 | 2020-10-06 |
| 1821629049 | Daniel A Hodges | Dentist | 1190 West Spring St, Suite A, Monroe, GA 30655 | 2020-01-27 |
| 1669019071 | Daniel Bradley Hodges | Dentist | 1190 W. Spring St, Monroe, GA 30655 | 2019-12-04 |
| 1861962730 | Danny Shoemake | Counselor | 2080 Highway 78 Nw, Monroe, GA 30655 | 2018-12-04 |
| 1144722455 | Catherine Williams | Behavioral Analyst | 109 Blaine Street, Monroe, GA 30655 | 2018-03-02 |
| 1588186811 | Francette Dubuche Bernard | Nurse Practitioner | 398 Highway 11, Sw, Monroe, GA 30655 | 2017-07-07 |
| 1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
| 1639528524 | Matthew Bradford Allgood | Physical Therapist | 2120 W Spring St Ste 1500, Monroe, GA 30655 | 2016-06-10 |
| 1477939221 | Healthy Home Transitions | Social Worker | 506 S Broad Street, Monroe, GA 30655 | 2015-08-04 |
| 1912315763 | Spectrum Surgical Assisting LLC | Specialist/Technologist, Other | 146 Martin Luther King Jr Blvd #302, Monroe, GA 30655 | 2014-07-24 |
| Find all providers in zip 30655 | ||||
| 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 |
|---|---|---|---|---|
| 1023151677 | Assoc for Retarded Citizens Ouachita | Clinic/Center | 901 N 4th St, Monroe, LA 71201-5909 | 2007-02-14 |
| 1215002506 | Advantage Bhs | Clinic/Center | 226 Leroy Anderson Rd, Monroe, GA 30655 | 2006-11-21 |
| 1588827398 | Autism Learning Center | Clinic/Center | 810 N 29th St, Monroe, LA 71201-3704 | 2008-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922653534 | Five Star Education Advocacy Group Inc | Clinic/Center | 978 Fellowship Rd, Fairburn, GA 30213-1789 | 2019-08-09 |
| 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 |
| 1790052637 | Terrell Lee (now) | Clinic/Center | 508 Oak St Se, Dawson, GA 39842-2024 | 2011-11-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ADVANTAGE BEHAVIORAL HEALTH SYSTEMS.
| 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.