PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH (NPI# 1689736647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689736647 |
| Entity Type | Organization |
| Organization Name | PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH |
| Practice Address |
756 Woodbury Road Greenville GA 30222-1514 |
| Mailing Address |
122 Gordon Commercial Drive Suite C Lagrange GA 30240-5740 |
| Practice Telephone | 7066721118 |
| Practice Fax Number | 7066721918 |
| Mailing Telephone | 7068454045 |
| Mailing Fax Number | 7068454367 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2013-02-26 |
| Authorized Official Name | JADE RUSSELL BENEFIELD (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7068454045 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000599332E | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659740041 | Pathways Center for Behavioral and Developmental Growth | Day Training, Developmentally Disabled Services | 999 W Main St Apt B, Manchester, GA 31816-1587 | 2015-09-16 |
| 1073999439 | Pathways Center for Behavioral and Developmental Growth | Day Training, Developmentally Disabled Services | 10 Lakeside Way, Apt 511, Newnan, GA 30265-1160 | 2015-08-07 |
| 1073994182 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 102 Corporate Park Drive East, Lagrange, GA 30241 | 2015-06-15 |
| 1013289255 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 52 Perry St, Newnan, GA 30263 | 2012-02-03 |
| 1992036685 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 756 Woodbury Rd, Greenville, GA 30222-1514 | 2010-01-20 |
| 1427225655 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 1710 Highway 16 W, Griffin, GA 30223-7107 | 2008-05-16 |
| 1609075886 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 300 West 7th Street, West Point, GA 31833 | 2007-07-17 |
| 1588797799 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 122 Gordon Commercial Drive, Suite C, Lagrange, GA 30240-5740 | 2007-03-14 |
| 1124183082 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 101 Commerce Plaza, Suite 3, Barnesville, GA 30204-1680 | 2006-12-22 |
| 1881758662 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 74 Hospital Rd, Newnan, GA 30263-1210 | 2006-12-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 |
| Street Address |
756 WOODBURY ROAD |
| City | GREENVILLE |
| State | GA |
| Zip Code | 30222-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366084576 | Betty Kathleen Demine | Counselor | 756 Woodbury Road, Greenville, GA 30222-1514 | 2019-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003232042 | U Save It Pharmacy Inc | Pharmacy | 121 S Court Square, Greenville, GA 30222 | 2014-03-14 |
| 1700134475 | Selma Luella Smith | Registered Nurse | 775 Woodbury Road, Building B, Greenville, GA 30222 | 2012-08-28 |
| 1609911262 | Charles Allen Tigner | Pharmacist | 121 South Court Square, Greenville, GA 30222 | 2007-02-21 |
| 1124096334 | Southwest Medical Clinic,inc. | Internal Medicine | 7007 Williams Street, Suite C, Box 1120, Greenville, GA 30222 | 2006-03-14 |
| 1598394314 | Catherine Callahan | Counselor | 756 Woodbury Rd, Greenville, GA 30222 | 2020-04-03 |
| 1669721478 | Ada Scott | Registered Nurse | 756 Woodbury Rd, Greenville, GA 30222 | 2012-09-07 |
| 1417084252 | Greenville Drug Co., Inc | Pharmacy | 121 South Court Square, Greenville, GA 30222 | 2007-02-28 |
| 1932177102 | Patricia Chinwenwa Ubani-ebere | Internal Medicine | 7007 Williams Street, Suite C Box 120, Greenville, GA 30222 | 2006-03-14 |
| 1740310382 | Lori Ann Berdo | Physical Therapist | 1441 Clifton Road, Atlanta, GA 30222-1004 | 2007-03-06 |
| 1457669079 | Jessica Bolton | Counselor | 756 Woodbury Hwy, Greenville, GA 30222-1514 | 2010-09-16 |
| Find all providers in zip 30222 | ||||
| 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] |
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| 1558911677 | Positive Innergy Medical Group | Community/Behavioral Health | 26 Potomac Ave, Greenville, SC 29605-2118 | 2019-09-19 |
| 1831651850 | Nick Comai, LLC | Community/Behavioral Health | 1202 Tamarack Ct, Greenville, MI 48838-2597 | 2019-04-01 |
| 1285111906 | Cornerstone Senior Care and Assisted Living,llc | Community/Behavioral Health | 3900 Joe Ramsey Blvd E Bldg 10a, Greenville, TX 75401-7727 | 2018-07-25 |
| 1295234565 | Krystle Shields | Community/Behavioral Health | 3116 Noah Ct, Greenville, NC 27834-6239 | 2018-02-01 |
| 1639697642 | Stigma Inc. | Community/Behavioral Health | 815 E Butler Rd Apt 228, Greenville, SC 29607-5870 | 2017-08-30 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| 1821514266 | Idella Care Homes | Community/Behavioral Health | 870 Spring Forest Rd, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 30222 |
Please comment or provide details below to improve the information on PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH.
| 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.