CSB OF EAST CENTRAL GEORGIA (NPI# 1447326541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447326541 |
| Entity Type | Organization |
| Organization Name | CSB OF EAST CENTRAL GEORGIA |
| Other Organization Name | FRIENDSHIP COMMUNITY CENTER |
| Practice Address |
1720 Central Ave Augusta GA 30904-5737 |
| Practice Telephone | 7067364339 |
| Practice Fax Number | 7064323780 |
| Mailing Telephone | 7067364339 |
| 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 |
|---|---|
| Friendship Community Center | 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 |
| 1285700385 | Csb of East Central Georgia | Clinic/Center | 3405 Building #15, Augusta, GA 30906-3815 | 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 |
1720 CENTRAL AVE |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-5737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861947772 | Augusta Community Services Inc | Health Maintenance Organization | 1720 Central Ave, Augusta, GA 30904-5737 | 2016-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| 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 |
| 1285700385 | Csb of East Central Georgia | Clinic/Center | 3405 Building #15, Augusta, GA 30906-3815 | 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.