PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH (NPI# 1427225655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427225655 |
| Entity Type | Organization |
| Organization Name | PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH |
| Practice Address |
1710 Highway 16 W Griffin GA 30223-7107 |
| Mailing Address |
122 Gordon Commercial Drive Suite C Lagrange GA 30240-5740 |
| Practice Telephone | 7702293407 |
| Practice Fax Number | 7702293465 |
| Mailing Telephone | 7068454045 |
| Mailing Fax Number | 7068454367 |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2019-03-18 |
| Authorized Official Name | JADE RUSSELL BENEFIELD (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7068454045 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000599332BF | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659740041 | Pathways Center for Behavioral and Developmental Growth | Day Training, Developmentally Disabled Services | 999 W Main St Apt B, Manchester, GA 31816-1587 | 2015-09-16 |
| 1073999439 | Pathways Center for Behavioral and Developmental Growth | Day Training, Developmentally Disabled Services | 10 Lakeside Way, Apt 511, Newnan, GA 30265-1160 | 2015-08-07 |
| 1073994182 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 102 Corporate Park Drive East, Lagrange, GA 30241 | 2015-06-15 |
| 1013289255 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 52 Perry St, Newnan, GA 30263 | 2012-02-03 |
| 1992036685 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 756 Woodbury Rd, Greenville, GA 30222-1514 | 2010-01-20 |
| 1609075886 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 300 West 7th Street, West Point, GA 31833 | 2007-07-17 |
| 1588797799 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 122 Gordon Commercial Drive, Suite C, Lagrange, GA 30240-5740 | 2007-03-14 |
| 1124183082 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 101 Commerce Plaza, Suite 3, Barnesville, GA 30204-1680 | 2006-12-22 |
| 1881758662 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 74 Hospital Rd, Newnan, GA 30263-1210 | 2006-12-19 |
| 1760546543 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 153 Independence Drive, Carrollton, GA 30116-9000 | 2006-12-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 |
| Street Address |
1710 HIGHWAY 16 W |
| City | GRIFFIN |
| State | GA |
| Zip Code | 30223-7107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295388270 | Twyanna S Cadogan | Counselor | 1710 Highway 16 W, Griffin, GA 30223-7107 | 2019-07-19 |
| 1750934915 | Jessica Rae Williams | Case Manager/Care Coordinator | 1710 Highway 16 W, Griffin, GA 30223-7107 | 2019-07-17 |
| 1982187118 | Lydia Threatt | Counselor | 1710 Highway 16 W, Griffin, GA 30223-7107 | 2018-09-13 |
| 1528510989 | Whitney Varner | Behavior Technician | 1710 Highway 16 W, Griffin, GA 30223-7107 | 2016-11-01 |
| 1932468782 | Amy Braswell | Counselor | 1710 Highway 16 W, Griffin, GA 30223-7107 | 2012-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235783036 | Jennifer Lashawn Stevenson | Registered Nurse | 1071 Highway 16 West, Griffin, GA 30223 | 2019-07-30 |
| 1992357644 | Nikki Petty | Behavior Technician | 185 Grady Street, Griffin, GA 30223 | 2019-07-12 |
| 1568940146 | Brenda Pope | Counselor | 1710 Highway 16 West, Griffin, GA 30223 | 2018-08-05 |
| 1073025151 | Vonita Clowers | Specialist | 1424 N. Expy, Suite 115, Griffin, GA 30223 | 2017-10-30 |
| 1912427592 | Sheena Murphy | Registered Nurse | 109 N. 10th Street, Griffin, GA 30223 | 2017-06-23 |
| 1033639612 | Taralyn Rae Sams | Registered Nurse | 109 North 10th Street, Griffin, GA 30223 | 2017-06-23 |
| 1326594656 | Wendell Robinson | Registered Nurse | 109 N.10th Street, Griffin, GA 30223 | 2016-08-28 |
| 1508235466 | Trenisha Jones Mccall | Counselor | 1815 North Expressway, Griffin, GA 30223 | 2015-09-22 |
| 1104224948 | Dawn Tyus | Counselor | 424 W. Taylor Street, Griffin, GA 30223 | 2014-12-10 |
| 1003173030 | Ingles Markets Inc | Pharmacy | 1735 Zebulon Rd, Griffin, GA 30223 | 2012-04-16 |
| Find all providers in zip 30223 | ||||
| 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 |
|---|---|---|---|---|
| 1487171351 | Remember Me Community Outreach, Inc. | Community/Behavioral Health | 1444 Meriwether St, Griffin, GA 30224-3989 | 2017-08-23 |
| 1093262503 | Renewing Hope LLC | Community/Behavioral Health | 2896 N Expressway Ste A, Griffin, GA 30223-7254 | 2016-09-01 |
| 1760801179 | Perfect Choice Private Home Care | Community/Behavioral Health | 1704 W Poplar St, Griffin, GA 30224-7102 | 2014-04-14 |
| 1942557491 | Choice Lab, Inc | Community/Behavioral Health | 221b W Poplar St, Griffin, GA 30224-3032 | 2012-08-14 |
| 1497070007 | Safer Ground Community Services, Inc. | Community/Behavioral Health | 315 W Solomon St, Suite 210, Griffin, GA 30223-3038 | 2010-04-07 |
| 1871762252 | Mcintosh Trail Community Service Board | Community/Behavioral Health | 1112 Broad Sreet, Griffin, GA 30223-2604 | 2008-02-29 |
| 1003085473 | Mcintosh Trail Community Service Board | Community/Behavioral Health | 221 Laurel Street, Griffin, GA 30224-4731 | 2008-02-29 |
| 1699944074 | Mcintosh Trail Community Service Board | Community/Behavioral Health | 13 Birnam Woods Road, Griffin, GA 30223-6684 | 2008-02-29 |
| 1952570335 | Mcintosh Trail Community Service Board | Community/Behavioral Health | 318 North 3rd Street, Griffin, GA 30223-3354 | 2008-02-29 |
| 1184893547 | Mcintosh Trail Community Service Board | Community/Behavioral Health | 418 Meriwether Street, Griffin, GA 30224-4135 | 2008-02-29 |
| Find all providers in GRIFFIN | ||||
Please comment or provide details below to improve the information on PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH.
| 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.