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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Other Name | Type Code |
---|---|
Grovetown Clinic | Doing Business As Name - Organization |
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 |
Street Address |
3421 MIKE PADGETT HWY |
City | AUGUSTA |
State | GA |
Zip Code | 30906-3815 |
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 |
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 |
Find all providers in zip 30906 |
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 |
---|---|---|---|---|
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 |
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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.