GATEWAY BEHAVIORAL HEALTH SERVICES (NPI# 1750672242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750672242 |
| Entity Type | Organization |
| Organization Name | GATEWAY BEHAVIORAL HEALTH SERVICES |
| Practice Address |
6055 New Jesup Hwy Brunswick GA 31523-1629 |
| Mailing Address |
3441 Cypress Mill Rd Suite 102 Brunswick GA 31520-2878 |
| Practice Telephone | 9122640979 |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-02 |
| Authorized Official Name | MR. WILLIAM PARKS (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9125548464 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1619519709 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 516 Freedom Trl, Brunswick, GA 31525-4712 | 2019-10-10 |
| 1902451693 | Gateway Behavioral Health Services | Community/Behavioral Health | 210 E 15th St Ste A, Woodbine, GA 31569-5501 | 2019-08-08 |
| 1497042303 | Gateway Behavioral Health Services | Community/Behavioral Health | 2 Lodge Rd, Hwy 17 North, Brunswick, GA 31525-2011 | 2011-06-30 |
| 1366737330 | Gateway Behavioral Health Services | Community/Behavioral Health | 3441 Cypress Mill Rd, Brunswick, GA 31520-2878 | 2011-06-17 |
| 1497054522 | Gateway Behavioral Health Services | Counselor | 3 Oglethorpe Professional Blvd, Savannah, GA 31406-3603 | 2011-03-15 |
| 1124254321 | Gateway Behavioral Health Services | Community Based Residential Treatment Facility, Mental Illness | 121 Burgess Rd, Brunswick, GA 31523-9311 | 2009-06-03 |
| 1558595983 | Gateway Behavioral Health Services | Community/Behavioral Health | 3045 Scarlett Street, Brunswick, GA 31520-1251 | 2009-05-13 |
| 1356587224 | Gateway Behavioral Health Services | Counselor | 515 E. 63rd Street, Suite 1, Savannah, GA 31405 | 2008-12-26 |
| 1407980303 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 941 E G Miles Pkwy, Hinesville, GA 31313-4514 | 2007-03-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GATEWAY BEHAVIORAL HEALTH SERVICES | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Street Address |
6055 NEW JESUP HWY |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31523-1629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154813012 | Curtis Lee Crews Jr. | Case Manager/Care Coordinator | 38 Crabapple Ln, Brunswick, GA 31523 | 2018-06-05 |
| 1841267606 | Michael C Pinell | Emergency Medicine | 60 Cinema Lane, Suite 250, Saint Simons Island, GA 31523 | 2006-03-01 |
| 1902093057 | J.h. Harvey Co., LLC | Durable Medical Equipment & Medical Supplies | 284 Hyde Park Commons, Brunswick, GA 31523-0000 | 2007-10-02 |
| 1831121870 | Freds Stores of Tennessee Inc | Pharmacy | 5485 New Jesup Hwy, Brunswick, GA 31523-1119 | 2006-07-07 |
| 1780853176 | Courtney Alyn Jonda | Pharmacist | 5421 New Jesup Hwy, Brunswick, GA 31523-1119 | 2008-02-29 |
| 1407231699 | A Royal Fresh Start & Associates Inc. | Counselor | 5420 New Jesup Hwy # 187, Brunswick, GA 31523-1137 | 2015-07-29 |
| 1851494512 | Georgia Cvs Pharmacy LLC | Pharmacy | 5421 New Jesup Hwy, Brunswick, GA 31523-1137 | 2006-09-07 |
| 1669812574 | Paladin Sleep Services LLC | Clinic/Center | 167 Highland Park Cir, Brunswick, GA 31523-1161 | 2013-06-25 |
| 1356778211 | Ergent Med-1 LLC | Clinic/Center | 5248 New Jesup Hwy, Brunswick, GA 31523-1211 | 2013-10-08 |
| 1134690555 | Gabrel Matthew Crabb | Nurse Practitioner | 5248 New Jesup Hwy, Brunswick, GA 31523-1211 | 2018-12-10 |
| Find all providers in zip 31523 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629617477 | Compass Bridges LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14 Arrowhead Dr, Brunswick, ME 04011-7420 | 2019-12-26 |
| 1619519709 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 516 Freedom Trl, Brunswick, GA 31525-4712 | 2019-10-10 |
| 1306970207 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 727 Pine Haven Circle, Brunswick, GA 31520 | 2007-03-15 |
| 1902939325 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Frazier Street, Brunswick, GA 31525 | 2007-03-14 |
| 1124151980 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 Baybridge Dr, Brunswick, GA 31525-1818 | 2007-03-13 |
| 1609909498 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 115 Frazier Road, Brunswick, GA 31525 | 2007-03-13 |
| 1306979000 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 119 Hidden Lakes Drive, Brunswick, GA 31525 | 2007-03-13 |
| 1568500585 | Pathways of Maine, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16 Burbank Ave, Brunswick, ME 04011-2878 | 2007-02-02 |
| 1255606810 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2012-03-15 |
| 1912271461 | Gateway Behahvioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2012-03-01 |
| Find all providers in BRUNSWICK | ||||
Please comment or provide details below to improve the information on GATEWAY BEHAVIORAL HEALTH SERVICES.
| 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.