OCONEE COMMUNITY SERVICE BOARD (NPI# 1639366560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639366560 |
| Entity Type | Organization |
| Organization Name | OCONEE COMMUNITY SERVICE BOARD |
| Practice Address |
830 W Charlton St Milledgeville GA 31061-2606 |
| Mailing Address |
Po Box 1827 Milledgeville GA 31059-1827 |
| Practice Telephone | 4784455255 |
| Mailing Telephone | 4784454817 |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | MS. DEBRA WEAVER (OFFICE MANAGER SYSTEMS) |
| Authorized Official Telephone | 4784454971 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RX MEDICAID PROVIDER NUMB | 00611223A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437334372 | Oconee Community Service Board | Community/Behavioral Health | 824 School St, Sandersville, GA 31082-7034 | 2008-01-09 |
| 1548445489 | Oconee Community Service Board | Community/Behavioral Health | 147 N Main St Sw, Milledgeville, GA 31061-5211 | 2008-01-09 |
| 1427233386 | Oconee Community Service Board | Community/Behavioral Health | 1860 Irwinton Rd, Milledgeville, GA 31061-4704 | 2008-01-09 |
| 1144405002 | Oconee Community Service Board | Community/Behavioral Health | 2 Pine Knoll Dr Se, Milledgeville, GA 31061-4810 | 2008-01-09 |
| 1396920708 | Oconee Community Service Board | Community/Behavioral Health | 1 Pine Knoll Dr Se, Milledgeville, GA 31061-4809 | 2008-01-03 |
| 1205022134 | Oconee Community Service Board | Community/Behavioral Health | 1241 Orchard Hill Rd, Milledgeville, GA 31061-2549 | 2007-09-25 |
| 1215123146 | Oconee Community Service Board | Community/Behavioral Health | 900 Barrows Ferry Rd Ne, Milledgeville, GA 31061-8520 | 2007-09-25 |
| 1063609998 | Oconee Community Service Board | Community/Behavioral Health | Culver Kidd Building Vinson Highway, Milledgeville, GA 31061-0001 | 2007-09-25 |
| 1679769640 | Oconee Community Service Board | Community/Behavioral Health | 101 East Sumpter, Eatonton, GA 31024 | 2007-09-24 |
| 1275677098 | Oconee Community Service Board | Community/Behavioral Health | 1241a Orchard Hill Rd, Milledgeville, GA 31061-2549 | 2007-02-16 |
| Street Address |
830 W CHARLTON ST |
| City | MILLEDGEVILLE |
| State | GA |
| Zip Code | 31061-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699950568 | Oconee Community Service Board | Community/Behavioral Health | 830 W Charlton St, Milledgeville, GA 31061-2606 | 2008-01-09 |
| 1891970752 | Oconee Community Service Board | Community/Behavioral Health | 830 W Charlton St, Milledgeville, GA 31061-2606 | 2008-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007403 | Caring Clinic LLC | Nurse Practitioner | 114 Wrights Dr, Milledgeville, GA 31061 | 2020-09-10 |
| 1629619945 | Gini M Ellis | Counselor | Blandy Way Office Park 60, Highway 22 West, Milledgeville, GA 31061 | 2019-10-08 |
| 1356992275 | Community Health Care Systems, Inc | Clinic/Center | 100 N Abc Street, Milledgeville, GA 31061 | 2019-09-23 |
| 1467923805 | Adam Tocio | Specialist/Technologist | 350 W. Washington St., Milledgeville, GA 31061 | 2018-12-11 |
| 1487170304 | Aubrey Martin | Specialist/Technologist | 251 S Clark St., Milledgeville, GA 31061 | 2017-08-22 |
| 1427573054 | Heritagefirst Home Care Inc. | In Home Supportive Care | 1277 Twin Pine Road, Milledgeville, GA 31061 | 2017-08-04 |
| 1851813893 | Brittany Shantrel Primas | Nurse Practitioner | 102 A Airport Road Ne, Milledgeville, GA 31061 | 2017-07-12 |
| 1609300839 | Samantha Weldon | Behavioral Analyst | 174 Stewart Dr Nw, Milledgeville, GA 31061 | 2017-04-14 |
| 1427425230 | Foster Deariso | Specialist/Technologist | 251 S Clarke St, Milledgeville, GA 31061 | 2015-08-27 |
| 1023406279 | Llewelyn Garillos | Occupational Therapist | 3789 Sinclair Dam Road Ne, Milledgeville, GA 31061 | 2014-12-22 |
| Find all providers in zip 31061 | ||||
| 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 |
|---|---|---|---|---|
| 1548445489 | Oconee Community Service Board | Community/Behavioral Health | 147 N Main St Sw, Milledgeville, GA 31061-5211 | 2008-01-09 |
| 1427233386 | Oconee Community Service Board | Community/Behavioral Health | 1860 Irwinton Rd, Milledgeville, GA 31061-4704 | 2008-01-09 |
| 1144405002 | Oconee Community Service Board | Community/Behavioral Health | 2 Pine Knoll Dr Se, Milledgeville, GA 31061-4810 | 2008-01-09 |
| 1396920708 | Oconee Community Service Board | Community/Behavioral Health | 1 Pine Knoll Dr Se, Milledgeville, GA 31061-4809 | 2008-01-03 |
| 1205022134 | Oconee Community Service Board | Community/Behavioral Health | 1241 Orchard Hill Rd, Milledgeville, GA 31061-2549 | 2007-09-25 |
| 1215123146 | Oconee Community Service Board | Community/Behavioral Health | 900 Barrows Ferry Rd Ne, Milledgeville, GA 31061-8520 | 2007-09-25 |
| 1063609998 | Oconee Community Service Board | Community/Behavioral Health | Culver Kidd Building Vinson Highway, Milledgeville, GA 31061-0001 | 2007-09-25 |
| 1659589265 | Youth Development Corporation of America | Community/Behavioral Health | 105 Fieldstone Dr, Suite 4, Milledgeville, GA 31061-7107 | 2007-05-18 |
| 1275677098 | Oconee Community Service Board | Community/Behavioral Health | 1241a Orchard Hill Rd, Milledgeville, GA 31061-2549 | 2007-02-16 |
| 1134280415 | River Edge Behavioral Health Center | Community/Behavioral Health | 541 West Montgomery Street, Milledgeville, GA 31061 | 2006-12-12 |
| Find all providers in MILLEDGEVILLE | ||||
| City | MILLEDGEVILLE |
| Zip Code | 31061 |
Please comment or provide details below to improve the information on OCONEE COMMUNITY SERVICE BOARD.
| 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.