COMMUNITY SERVICE BOARD OF EAST CENTRAL GEORGIA


Address: 3421 Mike Padgett Hwy, Augusta, GA 30906-3815
Phone: 7064324837

COMMUNITY SERVICE BOARD OF EAST CENTRAL GEORGIA (NPI# 1649718057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649718057
Entity Type Organization
Organization Name COMMUNITY SERVICE BOARD OF EAST CENTRAL GEORGIA
Other Organization Name GROVETOWN CLINIC
Practice Address 3421 Mike Padgett Hwy
Augusta
GA 30906-3815
Mailing Address 4039 Gateway Blvd
Ste. 201
Grovetown
GA 30813-3195
Practice Telephone 7064324837
Mailing Telephone 7067500200
Enumeration Date 2017-02-06
Last Update Date 2017-02-06
Authorized Official Name MICHELE D PRIOR (BILLING SPECIALIST SUPERVISOR)
Authorized Official Telephone 7064324837
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider/Organization Names

Other Name Type Code
Grovetown Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1013474915 Community Service Board of East Central Georgia Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1715 Lawerence Rd, Hephzibah, GA 30815-4445 2019-02-27
1164995965 Community Service Board of East Central Georgia Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1908 Driftwood Dr, Augusta, GA 30909-4113 2019-01-04
1891203345 Community Service Board of East Central Georgia Counselor 1253 Greene St, Augusta, GA 30901-2127 2018-01-18
1023516002 Community Service Board of East Central Georgia Community/Behavioral Health 355 Bobwhite Trl, Grovetown, GA 30813-5886 2018-01-25

Office Location

Street Address 3421 MIKE PADGETT HWY
City AUGUSTA
State GA
Zip Code 30906-3815

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669456620 Csb Community Mental Health Center of East Central Georgia Clinic/Center 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 2005-12-02
1609477033 Toni Paschal Marriage & Family Therapist 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 2020-11-03
1457952897 Michael Preddy Counselor 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 2020-11-03
1083221337 Olusola Zainab Ajala Registered Nurse 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 2020-09-29
1356953715 Monique Bramwell Registered Nurse 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 2020-08-18
1528695285 Stephen Ray Martell Counselor 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 2020-03-24
1841826245 Rachael L Fowler Counselor 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 2020-03-17
1992330914 Kaylee D Ramos Registered Nurse 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 2020-03-10
1205461464 Toni Akiti Licensed Practical Nurse 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 2020-03-09
1831737931 Jessica Welichko Registered Nurse 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 2019-12-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255969432 Barton Chapel Dental Group, LLC Dentist 2755 Barton Chapel Road, Augusta, GA 30906 2020-04-01
1255897419 Pediatric Mobility Innovations Durable Medical Equipment & Medical Supplies 3114 Augusta Tech Drive Suite 404, Augusta, GA 30906 2019-02-13
1023539731 Kristy Lee Gibbs Registered Nurse 3421 Mike Padgett Hwy Bldg C, Augusta, GA 30906 2017-07-03
1194186031 Clifton Nane Williams Counselor 3230 Hampton Circle, Augusta, GA 30906 2016-03-18
1376929661 Catherine A. Ganzy Social Worker 3405 Mike Padgett Highway; Building 201, East Central Regional Hosptial, Augusta, GA 30906 2015-08-10
1962810358 Fatemeh Azadeh Paziraei Dentist 1631 Gordon Highway, Augusta Smiles Youth Dentistry, Augusta, GA 30906 2014-07-29
1568809770 Brandon Jennings Occupational Therapy Assistant 2388 Old Mcduffie Rd, Augusta, GA 30906 2013-05-29
1811266646 Eddie P Johnson IIi, Dmd, PC Preferred Provider Organization 2755 Barton Chapel Rd, Augusta, GA 30906 2011-12-23
1366739021 Kerensa A Cooks Registered Nurse 3421 Mike Padgett Highway, Serenity Behavioral Health Systems, Augusta, GA 30906 2011-07-01
1265737423 Pidcock Chiropractic, Inc. Chiropractor 3028 Peach Orchard Rd., Augusta, GA 30906 2011-01-20
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770181877 Renewal Family Center, LLC Community/Behavioral Health 10 Learners Drive, Augusta, ME 04330 2020-10-12
1497376792 Bigivv Community/Behavioral Health 824 Hickman Rd Apt D32, Augusta, GA 30904-7108 2020-04-28
1871134478 Nicole Mank, Lcsw, LLC Community/Behavioral Health 126 Western Ave # 1026, Augusta, ME 04330-7249 2019-10-04
1891263091 Northeast Arkansas Community Mental Health Center Inc Community/Behavioral Health 623 N 9th St Ste 200, Augusta, AR 72006-2103 2018-11-06
1811492911 Healing Elements LLC Community/Behavioral Health 6494 Sw 60th St, Augusta, KS 67010-7790 2018-03-29
1942713664 Consuela Tangulia Wilds-glover Community/Behavioral Health 519 Pleasant Home Rd Ste C4, Augusta, GA 30907-0556 2017-11-16
1558874974 Jenesis Consulting and Development Community/Behavioral Health 4274 Belair Frontage Rd Ste 1, Augusta, GA 30909-9428 2017-11-07
1891217824 Many Waters Counseling, LLC Community/Behavioral Health 3540 Wheeler Rd Ste 210, Augusta, GA 30909-1879 2017-07-12
1649702739 Tracey Taylor Carter Community/Behavioral Health 1265 Interstate Pkwy, Suite B, Augusta, GA 30909-6481 2017-03-29
1669918231 Cj Foster Consulting Community/Behavioral Health 3031 Brockham Ct, Augusta, GA 30909-0629 2017-01-06
Find all providers in AUGUSTA

Competitor

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City AUGUSTA
Zip Code 30906

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Dataset Information

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.

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