GEORGIA MOUNTAIN COMMUNITY SERVICES (NPI# 1427313006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427313006 |
Entity Type | Organization |
Organization Name | GEORGIA MOUNTAIN COMMUNITY SERVICES |
Other Organization Name | AVITA COMMUNITY PARTNERS |
Practice Address |
358 Emory Chambers Rd Lula GA 30554-3900 |
Mailing Address |
4331 Thurmond Tanner Parkway Flowery Branch GA 30542-2829 |
Practice Telephone | 6785135720 |
Practice Fax Number | 6785135836 |
Mailing Telephone | 6785135720 |
Mailing Fax Number | 6785135836 |
Enumeration Date | 2012-07-10 |
Last Update Date | 2012-07-10 |
Authorized Official Name | TAMMY THOMPSON (BILLING SPECIALIST) |
Authorized Official Telephone | 6785135720 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | RESIDENTIAL HOME | 000607054BY | 01 |
Other Name | Type Code |
---|---|
Avita Community Partners | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184989766 | Georgia Mountain Community Services | Day Training, Developmentally Disabled Services | 200 Tomahawk Dr, Clarkesville, GA 30523-3364 | 2012-07-10 |
1164787743 | Georgia Mountain Community Services | Day Training, Developmentally Disabled Services | 2520 W Dennis Dr, Gainesville, GA 30507-7495 | 2012-07-10 |
1902161722 | Georgia Mountain Community Services | Day Training, Developmentally Disabled Services | 603 Shuler Rd, Cleveland, GA 30528-3562 | 2012-07-09 |
1619296522 | Georgia Mountain Community Services | Day Training, Developmentally Disabled Services | 108 13th St, Cumming, GA 30040-2208 | 2010-05-18 |
1770647463 | Georgia Mountain Community Services | Day Training, Developmentally Disabled Services | 3509 Mabry Rd, Gainesville, GA 30504-5755 | 2006-12-20 |
1740343326 | Georgia Mountain Community Services | Day Training, Developmentally Disabled Services | 154 Hart Service Rd, Hartwell, GA 30643-8440 | 2006-12-18 |
1710049663 | Georgia Mountain Community Services | Day Training, Developmentally Disabled Services | 451 Roper Dr, Clarkesville, GA 30523-6617 | 2006-12-15 |
1306178546 | Georgia Mountain Community Services | Day Training, Developmentally Disabled Services | 4331 Thurmon Tanner Rd, Flowery Branch, GA 30542-2829 | 2010-02-12 |
Street Address |
358 EMORY CHAMBERS RD |
City | LULA |
State | GA |
Zip Code | 30554-3900 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245396704 | Christie S Oneal | Occupational Therapist | 5130 Whitehall Rd, Lula, GA 30554 | 2006-12-29 |
1679512214 | John Wesley Turner | Physician Assistant | 5013 Cagle Mill Rd, Lula, GA 30554-2727 | 2006-06-06 |
1144689407 | Cheryl Danner | Speech-Language Pathologist | 4950 Mckinley Dr, Lula, GA 30554-2786 | 2016-02-15 |
1326681651 | Danner Speech Services, LLC | Speech-Language Pathologist | 4950 Mckinley Dr, Lula, GA 30554-2786 | 2019-10-18 |
1659912558 | Richard David James Zambrowicz | Counselor | 5132 Sedgefield Way, Lula, GA 30554-2787 | 2019-10-01 |
1417945338 | Amy Miller | Pharmacist | 6102 Banks St, Lula, GA 30554-2858 | 2005-10-13 |
1760448138 | Tonya Leigh Ellis | Pharmacist | 6102 Banks St, Lula, GA 30554-2858 | 2006-04-25 |
1801453618 | Jessica Ashley Smith | Nurse Practitioner | 244 Ayers Cir, Lula, GA 30554-3341 | 2019-05-28 |
1952709412 | Audria Victoria Ratterree | Adult Companion | 797 Mount Sinai Rd, Lula, GA 30554-3645 | 2014-12-16 |
1730726944 | Audra Barr Hawkins | Counselor | 750 C Jordan Rd, Lula, GA 30554-3710 | 2019-12-06 |
Find all providers in zip 30554 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992024301 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 262 River Run Rd, Lula, GA 30554-3818 | 2010-05-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609482397 | A Better Life Together, Inc | Day Training, Developmentally Disabled Services | 3343 Woodshade Drive, Loganville, GA 30052 | 2020-09-18 |
1225643653 | Auesome Achiever LLC | Day Training, Developmentally Disabled Services | 601 Alcovy St, Monroe, GA 30655-2145 | 2020-09-11 |
1457962797 | Southeastern Support Care Services LLC | Day Training, Developmentally Disabled Services | 3523 Fuller St, Columbus, GA 31907-2554 | 2020-08-11 |
1548870363 | Heart Helping Hands, LLC | Day Training, Developmentally Disabled Services | 1919 Singer Way, Lithonia, GA 30058-5578 | 2020-08-06 |
1073121646 | Jo Anne Ragsdale | Day Training, Developmentally Disabled Services | 4916 Lake Park Ln, Acworth, GA 30101-6253 | 2020-07-20 |
1447877683 | Jeremy's Place Inc. | Day Training, Developmentally Disabled Services | 4910 Jonesboro Rd Ste 201, Union City, GA 30291-2087 | 2020-07-04 |
1457970626 | The J&r Group Ga I Nc. | Day Training, Developmentally Disabled Services | 1910 Wood Valley Rd, Macon, GA 31211-1619 | 2020-04-08 |
1497307425 | Bobby Dodd Institute | Day Training, Developmentally Disabled Services | 2120 Marietta Blvd Nw, Atlanta, GA 30318-2122 | 2019-07-10 |
1619537453 | Cherryl Miller | Day Training, Developmentally Disabled Services | 1499 Ravenel Rd, Conley, GA 30288-2226 | 2019-06-14 |
1821555913 | Community Service Board of Middle Georgia | Day Training, Developmentally Disabled Services | 1444 Morgan Creek Dr, Eastman, GA 31023 | 2019-02-25 |
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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.