COMMUNITY SERVICE BOARD OF MIDDLE GEORGIA (NPI# 1205357522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205357522 |
| Entity Type | Organization |
| Organization Name | COMMUNITY SERVICE BOARD OF MIDDLE GEORGIA |
| Practice Address |
762 Old Millen Hwy Waynesboro GA 30830-8808 |
| Mailing Address |
223 N Anderson Dr Swainsboro GA 30401-4440 |
| Practice Telephone | 7064376854 |
| Practice Fax Number | 7064376851 |
| Mailing Telephone | 4782892683 |
| Mailing Fax Number | 4782892798 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-28 |
| Authorized Official Name | KEITH MORAN (CFO) |
| Authorized Official Telephone | 4782756811 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000709288Q | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821555913 | Community Service Board of Middle Georgia | Day Training, Developmentally Disabled Services | 1444 Morgan Creek Dr, Eastman, GA 31023 | 2019-02-25 |
| 1073647905 | Community Service Board of Middle Georgia | Community/Behavioral Health | 600 N Jefferson St, Dublin, GA 31021-6302 | 2007-03-15 |
| 1982738811 | Community Service Board of Middle Georgia | Community/Behavioral Health | 2121a Bellevue Rd Bldg 9, Dublin, GA 31021-2998 | 2007-03-15 |
| 1912030008 | Community Service Board of Middle Georgia | Community/Behavioral Health | 410 Lakeside Drive, Mcrae, GA 31055 | 2007-03-14 |
| 1689707150 | Community Service Board of Middle Georgia | Community/Behavioral Health | 417 Louisiana Ave E, Soperton, GA 30457-1126 | 2007-03-14 |
| 1578696928 | Community Service Board of Middle Georgia | Community/Behavioral Health | 2121a Bellevue Rd Bldg 7, Dublin, GA 31021-2998 | 2007-03-14 |
| 1164555744 | Community Service Board of Middle Georgia | Community/Behavioral Health | 621 Plaza Ave, Eastman, GA 31023-6753 | 2007-03-13 |
| 1144741364 | Community Service Board of Middle Georgia | Community/Behavioral Health | 109 Cherry St, Sylvania, GA 30467-6405 | 2017-06-28 |
| 1134640451 | Community Service Board of Middle Georgia | Clinic/Center | 207 N Anderson Dr, Swainsboro, GA 30401-4440 | 2017-06-28 |
| 1285155408 | Community Service Board of Middle Georgia | Community/Behavioral Health | 1202 Old Sylvania Rd, Millen, GA 30442-6758 | 2017-06-28 |
| Street Address |
762 OLD MILLEN HWY |
| City | WAYNESBORO |
| State | GA |
| Zip Code | 30830-8808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033630355 | Community Service Board of Middle Georgia | Community/Behavioral Health | 762 Old Millen Hwy, Waynesboro, GA 30830-8808 | 2017-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935841 | Benjamin Wade Alverson | Dentist | 264 Hopkins Corner Dr. Suite D-8, Waynesboro, GA 30830 | 2020-06-08 |
| 1619524865 | Clark Drug Company, LLC. | Pharmacy | 206 W 6th Street, Waynesboro, GA 30830 | 2019-08-22 |
| 1508181405 | Walter R. Voyles | Surgery | 506 Burkeland Rd, Waynesboro, GA 30830 | 2010-04-02 |
| 1124264015 | Southern Health Solutions, LLC | Early Intervention Provider Agency | 6293c Highway 23 South, Waynesboro, GA 30830 | 2008-12-23 |
| 1184814519 | Bonnie P Jenkins Md PC | Family Medicine | 201 Dogwood Drive, Waynesboro, GA 30830 | 2007-08-01 |
| 1528113388 | Margaret Ann Mcgraw | Licensed Practical Nurse | 305 Park Dr, Waynesboro, GA 30830 | 2007-01-24 |
| 1780739599 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 305 Park Drive, Waynesboro, GA 30830 | 2007-01-24 |
| 1356496194 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 556 Hwy 25 South, Waynesboro, GA 30830 | 2007-01-24 |
| 1396890091 | Frances Gilbreth Brown | Counselor | 629 Shadrack Street, Waynesboro, GA 30830 | 2007-01-24 |
| 1316092000 | Connie Golding | Counselor | 727 W. Sixth Street, Waynesboro, GA 30830 | 2007-01-24 |
| Find all providers in zip 30830 | ||||
| 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 |
|---|---|---|---|---|
| 1215569066 | Family Preservation Services, LLC. | Community/Behavioral Health | 840 King Ave, Waynesboro, VA 22980-2723 | 2020-02-10 |
| 1104458959 | Family Preservation Services, LLC. | Community/Behavioral Health | 548 Rosser Ave, Waynesboro, VA 22980-3561 | 2020-02-10 |
| 1295367043 | Family Preservation Services, LLC. | Community/Behavioral Health | 125 N Bayard Ave, Waynesboro, VA 22980-5156 | 2020-02-10 |
| 1427680479 | Family Preservation Services, LLC. | Community/Behavioral Health | 1301 Rockfish Rd, Waynesboro, VA 22980-6308 | 2020-02-07 |
| 1760903066 | Wayne Provision | Community/Behavioral Health | 950 Andrew Jackson Drive, Waynesboro, TN 38485 | 2017-06-28 |
| 1366897472 | Family Preservation Services, Inc | Community/Behavioral Health | 937 Fir St, Waynesboro, VA 22980-3753 | 2016-04-26 |
| 1790168847 | Center New Beginnings | Community/Behavioral Health | 727 W 6th St, Waynesboro, GA 30830-4407 | 2015-07-08 |
| 1902165905 | Active Living LLC | Community/Behavioral Health | 424 Kirby Ave, Waynesboro, VA 22980-3189 | 2012-05-10 |
| 1194055046 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 566 Hwy 25 S, Waynesboro, GA 30830-5545 | 2009-12-28 |
| 1538214374 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 292 W 4th St, Waynesboro, GA 30830-1559 | 2007-01-24 |
| Find all providers in WAYNESBORO | ||||
| City | WAYNESBORO |
| Zip Code | 30830 |
Please comment or provide details below to improve the information on COMMUNITY SERVICE BOARD OF MIDDLE GEORGIA.
| 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.