CSB OF EAST CENTRAL GEORGIA (NPI# 1285700385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285700385 |
| Entity Type | Organization |
| Organization Name | CSB OF EAST CENTRAL GEORGIA |
| Other Organization Name | CSP PROGRAM |
| Practice Address |
3405 Building #15 Augusta GA 30906-3815 |
| Mailing Address |
3405 Building # 15 Mike Padgett Hwy. Augusta GA 30906-3815 |
| Practice Telephone | 7067927267 |
| Practice Fax Number | 7064323780 |
| Mailing Telephone | 7067927267 |
| Mailing Fax Number | 7064323780 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WANDA L. JESSIE (BILLING MANAGER) |
| Authorized Official Telephone | 7064324858 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
GA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CSP PROGRAM | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689945909 | Csb of East Central Georgia | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4054 Bath Edie Rd, Blythe, GA 30805-3600 | 2012-01-18 |
| 1447326541 | Csb of East Central Georgia | Clinic/Center | 1720 Central Ave, Augusta, GA 30904-5737 | 2006-11-28 |
| 1659544369 | Csb of East Central Georgia | Clinic/Center | 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2008-04-03 |
| 1609942119 | Csb of East Central Georgia | Clinic/Center | 124 Gordon St, Washington, GA 30673-1602 | 2006-11-27 |
| Street Address |
3405 BUILDING #15 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30906-3815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969432 | Barton Chapel Dental Group, LLC | Dentist | 2755 Barton Chapel Road, Augusta, GA 30906 | 2020-04-01 |
| 1255897419 | Pediatric Mobility Innovations | Durable Medical Equipment & Medical Supplies | 3114 Augusta Tech Drive Suite 404, Augusta, GA 30906 | 2019-02-13 |
| 1023539731 | Kristy Lee Gibbs | Registered Nurse | 3421 Mike Padgett Hwy Bldg C, Augusta, GA 30906 | 2017-07-03 |
| 1194186031 | Clifton Nane Williams | Counselor | 3230 Hampton Circle, Augusta, GA 30906 | 2016-03-18 |
| 1376929661 | Catherine A. Ganzy | Social Worker | 3405 Mike Padgett Highway; Building 201, East Central Regional Hosptial, Augusta, GA 30906 | 2015-08-10 |
| 1962810358 | Fatemeh Azadeh Paziraei | Dentist | 1631 Gordon Highway, Augusta Smiles Youth Dentistry, Augusta, GA 30906 | 2014-07-29 |
| 1568809770 | Brandon Jennings | Occupational Therapy Assistant | 2388 Old Mcduffie Rd, Augusta, GA 30906 | 2013-05-29 |
| 1811266646 | Eddie P Johnson IIi, Dmd, PC | Preferred Provider Organization | 2755 Barton Chapel Rd, Augusta, GA 30906 | 2011-12-23 |
| 1366739021 | Kerensa A Cooks | Registered Nurse | 3421 Mike Padgett Highway, Serenity Behavioral Health Systems, Augusta, GA 30906 | 2011-07-01 |
| 1265737423 | Pidcock Chiropractic, Inc. | Chiropractor | 3028 Peach Orchard Rd., Augusta, GA 30906 | 2011-01-20 |
| Find all providers in zip 30906 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245874684 | Be You Health and Wellness, LLC | Clinic/Center | 949 Burlington Dr, Augusta, GA 30909-9247 | 2019-10-29 |
| 1306346168 | Connect Counseling, LLC | Clinic/Center | 6 George C Wilson Ct Ste B, Augusta, GA 30909-6593 | 2018-02-19 |
| 1447326541 | Csb of East Central Georgia | Clinic/Center | 1720 Central Ave, Augusta, GA 30904-5737 | 2006-11-28 |
| 1669456620 | Csb Community Mental Health Center of East Central Georgia | Clinic/Center | 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2005-12-02 |
| 1548807118 | Kristina Fiske Counseling LLC | Clinic/Center | 211 Pleasant Home Rd Ste G1, Augusta, GA 30907-0560 | 2019-12-03 |
| 1518487404 | Bridging Seventeen Counseling Center, LLC | Clinic/Center | 3108 Peach Orchard Rd #6419, Augusta, GA 30909-3090 | 2017-06-22 |
| 1528444072 | Therapeutic Thinking LLC | Clinic/Center | 1287 Marks Church Rd Ste 1, Augusta, GA 30909 | 2015-08-07 |
| 1497186118 | Daryl Taylor | Clinic/Center | 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2013-12-05 |
| 1902033533 | Anna Marie Hargas | Clinic/Center | 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2009-06-22 |
| 1528200730 | Teresita Santos Banez | Clinic/Center | 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2009-04-02 |
| Find all providers in AUGUSTA | ||||
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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.