DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES


Address: 620 Broad St, Milledgeville, GA 31062-7525
Phone: 4784454128

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 283Q00000X Psychiatric Hospital 005-3263 GA Hospitals

Other Provider/Organization Names

Other Name Type Code
Central State Hospital Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 620 BROAD ST
City MILLEDGEVILLE
State GA
Zip Code 31062-7525

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 283Q00000X
Grouping Hospitals
Classification Psychiatric Hospital

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City MILLEDGEVILLE
Zip Code 31062

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Dataset Information

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.

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