COMMUNITY SERVICE BOARD OF MIDDLE GEORGIA (NPI# 1336669787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336669787 |
| Entity Type | Organization |
| Organization Name | COMMUNITY SERVICE BOARD OF MIDDLE GEORGIA |
| Practice Address |
292 W 4th St Waynesboro GA 30830-1559 |
| Mailing Address |
223 N Anderson Dr Swainsboro GA 30401-4440 |
| Practice Telephone | 7064376863 |
| Practice Fax Number | 7064376860 |
| Mailing Telephone | 4782892683 |
| Mailing Fax Number | 4782892798 |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-06-26 |
| 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 | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000606383V | 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 |
| 1205357522 | Community Service Board of Middle Georgia | Community/Behavioral Health | 762 Old Millen Hwy, Waynesboro, GA 30830-8808 | 2017-06-28 |
| 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 |
| Street Address |
292 W 4TH ST |
| City | WAYNESBORO |
| State | GA |
| Zip Code | 30830-1559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538214374 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 292 W 4th St, Waynesboro, GA 30830-1559 | 2007-01-24 |
| 1972073476 | Darlene Renee Slappey Bates | Counselor | 292 W 4th St, Waynesboro, GA 30830-1559 | 2018-11-28 |
| 1215358171 | Tonya Raborn | Licensed Practical Nurse | 292 W 4th St, Waynesboro, GA 30830-1559 | 2013-12-19 |
| 1376988808 | Tammy Patton | Licensed Practical Nurse | 292 W 4th St, Waynesboro, GA 30830-1559 | 2013-05-10 |
| 1972948628 | Jessica Brianne Moritz | Social Worker | 292 W 4th St, Waynesboro, GA 30830-1559 | 2013-05-08 |
| 1083964217 | Laconya Manuel | Counselor | 292 W 4th St, Waynesboro, GA 30830-1559 | 2012-09-14 |
| 1154670693 | Greta Latoria Bell | Licensed Practical Nurse | 292 W 4th St, Waynesboro, GA 30830-1559 | 2012-08-30 |
| 1326397969 | Haley Lindsey | Counselor | 292 W 4th St, Waynesboro, GA 30830-1559 | 2012-08-29 |
| 1790034338 | Vashistha Ramcharan | Counselor | 292 W 4th St, Waynesboro, GA 30830-1559 | 2012-08-29 |
| 1043529761 | Susan Heather Cowart | Counselor | 292 W 4th St, Waynesboro, GA 30830-1559 | 2010-09-29 |
| Find all providers in the same location | ||||
| 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 | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1972120970 | Imagine New Beginnings | Clinic/Center | 3125 Colonial Way Apt J, Atlanta, GA 30341-5339 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
| 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.