COMMUNITY SERVICE BOARD OF MIDDLE GEORGIA (NPI# 1689707150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689707150 |
| Entity Type | Organization |
| Organization Name | COMMUNITY SERVICE BOARD OF MIDDLE GEORGIA |
| Other Organization Name | SOPERTON C&A DAY SERVICES |
| Practice Address |
417 Louisiana Ave E Soperton GA 30457-1126 |
| Mailing Address |
2121a Bellevue Rd Dublin GA 31021-2998 |
| Practice Telephone | 4782721190 |
| Practice Fax Number | 4782747628 |
| Mailing Telephone | 4782721190 |
| Mailing Fax Number | 4782747628 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2015-07-09 |
| Authorized Official Name | CYNTHIA REID (CFO) |
| Authorized Official Telephone | 4782721190 |
| 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 | 000606284M | 05 |
| Other Name | Type Code |
|---|---|
| Soperton C&A Day Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821555913 | Community Service Board of Middle Georgia | Day Training, Developmentally Disabled Services | 1444 Morgan Creek Dr, Eastman, GA 31023 | 2019-02-25 |
| 1205357522 | Community Service Board of Middle Georgia | Community/Behavioral Health | 762 Old Millen Hwy, Waynesboro, GA 30830-8808 | 2017-06-28 |
| 1073647905 | Community Service Board of Middle Georgia | Community/Behavioral Health | 600 N Jefferson St, Dublin, GA 31021-6302 | 2007-03-15 |
| 1982738811 | Community Service Board of Middle Georgia | Community/Behavioral Health | 2121a Bellevue Rd Bldg 9, Dublin, GA 31021-2998 | 2007-03-15 |
| 1912030008 | Community Service Board of Middle Georgia | Community/Behavioral Health | 410 Lakeside Drive, Mcrae, GA 31055 | 2007-03-14 |
| 1578696928 | Community Service Board of Middle Georgia | Community/Behavioral Health | 2121a Bellevue Rd Bldg 7, Dublin, GA 31021-2998 | 2007-03-14 |
| 1164555744 | Community Service Board of Middle Georgia | Community/Behavioral Health | 621 Plaza Ave, Eastman, GA 31023-6753 | 2007-03-13 |
| 1144741364 | Community Service Board of Middle Georgia | Community/Behavioral Health | 109 Cherry St, Sylvania, GA 30467-6405 | 2017-06-28 |
| 1134640451 | Community Service Board of Middle Georgia | Clinic/Center | 207 N Anderson Dr, Swainsboro, GA 30401-4440 | 2017-06-28 |
| 1285155408 | Community Service Board of Middle Georgia | Community/Behavioral Health | 1202 Old Sylvania Rd, Millen, GA 30442-6758 | 2017-06-28 |
| Street Address |
417 LOUISIANA AVE E |
| City | SOPERTON |
| State | GA |
| Zip Code | 30457-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144431479 | David Lavon Moore | General Practice | 4101 Cascade Circle, Soperton, GA 30457 | 2007-05-25 |
| 1588654388 | Emanuel County Hospital Authority | Clinic/Center | 601 Third St, Soperton, GA 30457 | 2005-10-24 |
| 1942303557 | Ernest Wesley Crowe | Pharmacist | 112 W Main St, Soperton Pharmacy Inc, Soperton, GA 30457 | 2006-09-07 |
| 1457467219 | Joel Scott Bray | Family Medicine | 601 3rd St N, Soperton, GA 30457-1160 | 2006-08-22 |
| 1184738429 | John Louis Pournelle Jr. | Dentist | 607 3rd St N, Soperton, GA 30457-1160 | 2006-08-17 |
| 1558339838 | Soperton Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 112 Main St W, Soperton, GA 30457-1169 | 2006-03-10 |
| 1952441180 | Richard Marion Dennard | Pharmacist | 119 2nd St N, Soperton, GA 30457-1177 | 2007-02-07 |
| 1215078969 | Adele Diane Dennard | Pharmacist | 119 2nd St N, Soperton, GA 30457-1177 | 2007-02-08 |
| 1316088040 | Blakely Sutton Dennard | Pharmacist | 119 2nd St N, Soperton, GA 30457-1177 | 2007-02-08 |
| 1851441117 | Coastal Care Services, Inc. | Assisted Living Facility | 105 College St N, Soperton, GA 30457-1207 | 2007-01-11 |
| Find all providers in zip 30457 | ||||
| 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 |
|---|---|---|---|---|
| 1154974798 | Ubuntu Reloaded Coffee and Conversation | Community/Behavioral Health | 1009 Second St Ste A, Soperton, GA 30457-2443 | 2019-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376160 | Love, Breanna Olivia Zion Enterprise,llc(lboz): | Community/Behavioral Health | 9802 N Ivy Park Dr, Fortson, GA 31808-7130 | 2020-11-02 |
| 1578170882 | Helping Hearts Behavioral Health Services, LLC | Community/Behavioral Health | 504 Hamlet Dr, Hampton, GA 30228-4829 | 2020-09-30 |
| 1982219523 | Future Seekers, Inc. | Community/Behavioral Health | 3475 N. Desert Drive, Building 1, Suite 2100, East Point, GA 30344-3034 | 2020-09-10 |
| 1396359840 | Just Like Family Caregivers | Community/Behavioral Health | 2628 Lovejoy Crossing St, Hampton, GA 30228-5995 | 2020-09-02 |
| 1285247270 | Hudu Yoga & Therapy | Community/Behavioral Health | 3900 Springleaf Ct, Stone Mountain, GA 30083-4692 | 2020-08-28 |
| 1952914632 | Brighter Dayz, Incorporated | Community/Behavioral Health | 1016 Howell Mill Rd Nw Apt 4408, Atlanta, GA 30318-5592 | 2020-08-24 |
| 1699387688 | Rise Rehabilitation Services, LLC | Community/Behavioral Health | 738 Highland Park Trl, Atlanta, GA 30350-6706 | 2020-08-20 |
| 1104438373 | Pivotal Counseling LLC | Community/Behavioral Health | 75 N Broad St, Winder, GA 30680-1907 | 2020-08-19 |
| 1295347888 | Freemans Early Intervention Services | Community/Behavioral Health | 13 Peach St, Butler, GA 31006 | 2020-08-17 |
| 1861017634 | Trinity Care Counseling | Community/Behavioral Health | 3475 Northwinds Parkway, 200, Alpharetta, GA 30009 | 2020-06-08 |
| Find all providers with the same taxonomy | ||||
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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.