DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES (NPI# 1902030307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902030307 |
Entity Type | Organization |
Organization Name | DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES |
Other Organization Name | CENTRAL STATE HOSPITAL |
Practice Address |
620 Broad St Milledgeville GA 31062-7525 |
Practice Telephone | 4784454128 |
Mailing Telephone | 4784454128 |
Enumeration Date | 2009-05-13 |
Last Update Date | 2009-05-13 |
Authorized Official Name | MR. MARVIN BAILEY (REGIONAL HOSPITAL ADMINISTRATOR) |
Authorized Official Telephone | 4784454128 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 283Q00000X | Psychiatric Hospital | 005-3263 | GA | Hospitals |
Other Name | Type Code |
---|---|
Central State Hospital | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861505430 | Department of Behavioral Health and Developmental Disabilities | Pharmacy | 325 Lawrence Rd, Central State Hospital, Milledgeville, GA 31062-7525 | 2006-08-16 |
1356351217 | Department of Behavioral Health and Developmental Disabilities | Clinic/Center | 6126 Arnold Dr, Columbus, GA 31907-1904 | 2006-08-09 |
1558371492 | Department of Behavioral Health and Developmental Disabilities | Clinic/Center | 4916 Lapaloma Dr, Columbus, GA 31907-2741 | 2006-08-09 |
1093046005 | Department of Behavioral Health and Developmental Disabilities | Psychiatric Hospital | 3405 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2010-01-15 |
1992036909 | Department of Behavioral Health and Developmental Disabilities | Pharmacy | 100 Myrtle Blvd, Gracewood, GA 30812-1500 | 2010-01-15 |
1699000703 | Department of Behavioral Health and Developmental Disabilities | Intermediate Care Facility, Mentally Retarded | 100 Myrtle Blvd, Gracewood, GA 30812-1500 | 2009-10-07 |
1053646166 | Department of Behavioral Health and Developmental Disabilities | Skilled Nursing Facility | 100 Myrtle Blvd, Gracewood, GA 30812-1500 | 2009-10-07 |
1124254941 | Department of Behavioral Health and Developmental Disabilities | Psychiatric Hospital | 3073 Panthersville Rd, Decatur, GA 30034-3828 | 2009-06-08 |
1033345079 | Department of Behavioral Health and Developmental Disabilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6126 Arnold Dr, Columbus, GA 31907-1904 | 2009-06-04 |
1053547067 | Department of Behavioral Health and Developmental Disabilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4916 Lapaloma Dr, Columbus, GA 31907-2741 | 2009-06-04 |
Street Address |
620 BROAD ST |
City | MILLEDGEVILLE |
State | GA |
Zip Code | 31062-7525 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528486784 | Frank Nelson Ragland | Respiratory Therapist, Registered | 620 Broad St, Milledgeville, GA 31062-7525 | 2014-04-03 |
1821225343 | Kathleen A. Martin | Nurse Practitioner | 620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 | 2009-06-11 |
1831334515 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 620 Broad St, Central Care-yarbrough Bldg-3rd Floor, Milledgeville, GA 31062-7525 | 2008-12-09 |
1740462399 | Wigberto Vivas | General Practice | 620 Broad St, Milledgeville, GA 31062-7525 | 2007-12-05 |
1770765745 | Cynthia B. Lee | Dentist | 620 Broad St, Milledgeville, GA 31062-7525 | 2007-12-03 |
1336350750 | Ernesto A Coligado | General Practice | 620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 | 2007-05-25 |
1013068030 | Charles Meyer Jr. | Psychiatry & Neurology | 620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 | 2007-01-16 |
1790836724 | Anita Mikita | Psychiatry & Neurology | 620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 | 2007-01-16 |
1578679122 | Yonghua Du | General Practice | 620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 | 2006-08-23 |
1205848660 | Bhagwant R Verma | Psychiatry & Neurology | 620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 | 2006-08-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679758429 | Mary Decruise | Psychologist | 2450 Vinson Hwy, Milledgeville, GA 31062 | 2007-12-28 |
1922668169 | Lufti I Yargic | Psychiatry & Neurology | Csh - Cook Building 2450 Vinson Highway, Milledgeville, GA 31062-0001 | 2019-06-19 |
1770047276 | Ekrem Dogan | Internal Medicine | 2450 Vinson Highway Cook Building, Milledgeville, GA 31062-0001 | 2019-01-29 |
1144703497 | Tara Walker | Nurse Practitioner | Central State Hospital 2450 Vinson Hwy, Milledgeville, GA 31062-0001 | 2018-09-12 |
1356586259 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1631 Valley Cir, Milledgeville, GA 31062-0001 | 2008-12-05 |
1841487667 | Georgia Department of Human Resources | General Acute Care Hospital | 2400 Vinson Hwy, Milledgeville, GA 31062-0001 | 2007-09-25 |
1659369866 | Clinton Wade Hodges | Pharmacist | Csh Pharmaceutical Services, Lawrence Rd., Milledgeville, GA 31062-0001 | 2005-10-11 |
1922621184 | Uzma Beg | Psychiatry & Neurology | 2450 Vinson Highway Cook Building, Milledgeville, GA 31062-0001 | 2020-05-22 |
1114010485 | Jeffrey D'neil Harris | Psychologist | 2450 Vinson Highway, Milledgeville, GA 31062-1622 | 2006-10-01 |
1235527144 | Loukisha Monique Roberts | Registered Nurse | 2450 Vinson Highway, Milledgeville, GA 31062-5641 | 2014-12-30 |
Find all providers in zip 31062 |
Taxonomy Code | 283Q00000X |
Grouping | Hospitals |
Classification | Psychiatric Hospital |
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063946788 | Central State Hospital | Psychiatric Hospital | 2450 Vinson Hwy Se, Cook Building, Milledgeville, GA 31061-4881 | 2017-04-19 |
1598773145 | Georgia Department of Human Resources | Psychiatric Hospital | 620 Broad St, Milledgeville, GA 31062-7525 | 2006-08-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922485804 | Mildred Grant | Psychiatric Hospital | 255 Sumner Lakes Rd, Sumner, GA 31789-4431 | 2015-04-30 |
1013259035 | Janet Warrington | Psychiatric Hospital | 438 Clem Lowell Rd, Carrollton, GA 30116-9255 | 2013-03-18 |
1093088643 | Ramsay Youth Services of Georgia, Inc. | Psychiatric Hospital | 3500 Riverside Dr, Macon, GA 31210-2509 | 2012-02-13 |
1518295518 | Reentry Corporation of America | Psychiatric Hospital | 260 Peachtree St, Atlanta, GA 30303-1202 | 2009-12-02 |
1427292333 | Uhs of Savannah LLC | Psychiatric Hospital | 633 Stephenson Ave, Savannah, GA 31405-5970 | 2009-04-22 |
1770742132 | Riverwoods Behavioral Health, LLC | Psychiatric Hospital | 223 Medical Center Drive, Riverdale, GA 30274 | 2008-06-02 |
1306913736 | Uhs of Laurel Heights, Lp | Psychiatric Hospital | 934 Briarcliff Rd Ne, Atlanta, GA 30306-2618 | 2006-11-29 |
1285663385 | Georgia Department of Human Resources | Psychiatric Hospital | 705 North Division Street Nw, Building 103 - Clinical Director's Office, Rome, GA 30165-1454 | 2006-07-01 |
1336114321 | Talbott Recovery Campus | Psychiatric Hospital | 5355 Hunter Rd, Atlanta, GA 30349-2594 | 2006-02-22 |
1205809571 | Turning Point Care Center LLC | Psychiatric Hospital | 3015 Veterans Pkwy S, Moultrie, GA 31788-6705 | 2006-02-08 |
Find all providers with the same taxonomy |
City | MILLEDGEVILLE |
Zip Code | 31062 |
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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.