CENTRAL STATE HOSPITAL (NPI# 1063946788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063946788 |
| Entity Type | Organization |
| Organization Name | CENTRAL STATE HOSPITAL |
| Practice Address |
2450 Vinson Hwy Se Cook Building Milledgeville GA 31061-4881 |
| Practice Telephone | 4784454303 |
| Practice Fax Number | 4784457941 |
| Mailing Telephone | 4784454303 |
| Mailing Fax Number | 4784457941 |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |
| Authorized Official Name | MS. BARBARA HARRISON (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Telephone | 4784454303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447609 | Central State Hospital | Psychiatric Hospital | 10510 Lagrange Rd, Louisville, KY 40223-1277 | 2005-06-14 |
| 1144467770 | Central State Hospital | Pharmacy | 10510 La Grange Rd, Louisville, KY 40223-1277 | 2009-01-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CENTRAL STATE HOSPITAL LOCAL REDEVELOPMENT AUTHORITY | 620 Broad St Fl 4, Milledgeville, GA 31062-7525 |
| Street Address |
2450 VINSON HWY SE COOK BUILDING |
| City | MILLEDGEVILLE |
| State | GA |
| Zip Code | 31061-4881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134162985 | Elizabeth Furbish | Family Medicine | 2450 Vinson Hwy Se, Milledgeville, GA 31061-4881 | 2006-06-13 |
| 1598310690 | Glenda Jane Marie Kepler | Psychiatry & Neurology | 2450 Vinson Hwy Se, Milledgeville, GA 31061-4881 | 2019-08-06 |
| 1801365655 | Huseyin Bayazit | Psychiatry & Neurology | 2450 Vinson Hwy Se, Milledgeville, GA 31061-4881 | 2018-11-21 |
| 1649769910 | Gokay Alpak | Psychiatry & Neurology | 2450 Vinson Hwy Se, Milledgeville, GA 31061-4881 | 2018-05-02 |
| 1144736034 | Diane Nobles | Nurse Practitioner | 2450 Vinson Hwy Se, Milledgeville, GA 31061-4881 | 2017-12-14 |
| 1013289453 | Penny E. Wiggins | Nurse Practitioner | 2450 Vinson Hwy Se, Milledgeville, GA 31061-4881 | 2012-02-01 |
| 1750600615 | Pamela D. Donovan | Clinical Nurse Specialist | 2450 Vinson Hwy Se, Milledgeville, GA 31061-4881 | 2010-05-18 |
| 1720302748 | Patricia Jean Marterer | Psychologist | 2450 Vinson Hwy Se, Milledgeville, GA 31061-4881 | 2010-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007403 | Caring Clinic LLC | Nurse Practitioner | 114 Wrights Dr, Milledgeville, GA 31061 | 2020-09-10 |
| 1629619945 | Gini M Ellis | Counselor | Blandy Way Office Park 60, Highway 22 West, Milledgeville, GA 31061 | 2019-10-08 |
| 1356992275 | Community Health Care Systems, Inc | Clinic/Center | 100 N Abc Street, Milledgeville, GA 31061 | 2019-09-23 |
| 1467923805 | Adam Tocio | Specialist/Technologist | 350 W. Washington St., Milledgeville, GA 31061 | 2018-12-11 |
| 1487170304 | Aubrey Martin | Specialist/Technologist | 251 S Clark St., Milledgeville, GA 31061 | 2017-08-22 |
| 1427573054 | Heritagefirst Home Care Inc. | In Home Supportive Care | 1277 Twin Pine Road, Milledgeville, GA 31061 | 2017-08-04 |
| 1851813893 | Brittany Shantrel Primas | Nurse Practitioner | 102 A Airport Road Ne, Milledgeville, GA 31061 | 2017-07-12 |
| 1609300839 | Samantha Weldon | Behavioral Analyst | 174 Stewart Dr Nw, Milledgeville, GA 31061 | 2017-04-14 |
| 1427425230 | Foster Deariso | Specialist/Technologist | 251 S Clarke St, Milledgeville, GA 31061 | 2015-08-27 |
| 1023406279 | Llewelyn Garillos | Occupational Therapist | 3789 Sinclair Dam Road Ne, Milledgeville, GA 31061 | 2014-12-22 |
| Find all providers in zip 31061 | ||||
| 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 |
|---|---|---|---|---|
| 1902030307 | Department of Behavioral Health and Developmental Disabilities | Psychiatric Hospital | 620 Broad St, Milledgeville, GA 31062-7525 | 2009-05-13 |
| 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 | 31061 |
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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.