UNISON BEHAVIORAL HEALTH PHARMACY


Address: 1007 Mary Street, Waycross, GA 31501
Phone: 9124497147

UNISON BEHAVIORAL HEALTH PHARMACY (NPI# 1073568838) 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) 1073568838
Entity Type Organization
Organization Name UNISON BEHAVIORAL HEALTH PHARMACY
Other Organization Name SATILLA COMMUNITY SERVICES
Practice Address 1007 Mary Street
Waycross
GA 31501
Practice Telephone 9124497147
Practice Fax Number 9124497089
Mailing Telephone 9124497147
Mailing Fax Number 9124497089
Enumeration Date 2006-05-23
Last Update Date 2013-09-30
Authorized Official Name MR. HENRY LYNN SIMPSON (PHARMACIST IN CHARGE)
Authorized Official Telephone 9124497147
Authorized Official Credential R.PH.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336C0002X Pharmacy
Specialization: Clinic Pharmacy
5641 GA Suppliers
N 3336C0002X Pharmacy
Specialization: Clinic Pharmacy
Suppliers
Y 251S00000X Community/Behavioral Health GA Agencies

Other Provider Identifier

State Issuer Identifier Type Code
NABP 1115775 01
GA PHRE005641 05
GA 00611014A 05

Other Provider/Organization Names

Other Name Type Code
Satilla Community Services Former Legal Business Name - Organization

Office Location

Street Address 1007 MARY STREET
City WAYCROSS
State GA
Zip Code 31501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134608367 Latoya Lasha Woodard Counselor 1007 Mary Street, Waycross, GA 31503 2018-08-08
1457518466 Unison Behavioral Health Community/Behavioral Health 1007 Mary Street, Waycross, GA 31503 2008-05-19
1063559011 Unison Behavioral Health Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1007 Mary Street, Waycross, GA 31503 2007-01-31
1437296472 Unison Behavioral Health Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1007 Mary Street, Waycross, GA 31503 2007-01-31
1528104866 Unison Behavioral Health Community/Behavioral Health 1007 Mary Street, Waycross, GA 31503 2007-01-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962906115 Davenport Health Pa Family Medicine 1401 Cherokee Drive, Waycross, GA 31501 2018-03-22
1962940478 Blake Darren Aldridge Physical Therapy Assistant 401 Preston Street, Waycross, GA 31501 2017-02-03
1669922142 Jebediah S. Christy Dds - Waycross Pllc Dentist 2271 Memorial Dr, Waycross, GA 31501 2016-10-10
1558721944 Jana Kirby Massage Therapist 1599 Knight Ave., Kallman Chiropractic Center, Waycross, GA 31501 2016-02-29
1962877001 Courtney Baldwin Specialist/Technologist, Other 2403 Spurgeon St, Waycross, GA 31501 2015-12-01
1912389784 Grayson Stuart Griffis Dentist 2103 Tebeau St., Waycross, GA 31501 2015-06-29
1730561267 Trishla Amit Desai Internal Medicine Memorial Satilla Health, 1900 Tebeau Street, Waycross, GA 31501 2015-06-20
1316330913 Hanger Prosthetics & Orthotics, Inc. Prosthetic/Orthotic Supplier 512 City Blvd Ste H, Waycross, GA 31501 2015-03-06
1942699079 Jose Ramon Martinez Anesthesiology 701 City Blvd, Waycross, GA 31501 2015-01-13
1023356714 Orthopedics Surgeons of Georgia, LLC Orthopaedic Surgery 2015 Alice Street, Waycross, GA 31501 2013-01-30
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699185108 Integral Care Network, LLC Community/Behavioral Health 200 N Nicholls St, Waycross, GA 31502-1344 2014-05-06
1841626140 Garden Gate Community/Behavioral Health 852 Tiffany Ln, Waycross, GA 31503-0155 2013-09-18
1730454760 Thomastine Mcgill Community/Behavioral Health 201 N Crawford St, Waycross, GA 31503-3932 2012-03-08
1851663074 Ernestine Nelson Community/Behavioral Health 701 Reed St, Waycross, GA 31501-2931 2012-02-03
1750653978 Flora Brown Community/Behavioral Health 821 Cedar St, Waycross, GA 31501-6410 2012-02-03
1881966018 Christine Smith Community/Behavioral Health 908 Cedar St, Waycross, GA 31501-6440 2012-02-03
1225300452 Supportive Employment Community/Behavioral Health 201 Brunel St, Waycross, GA 31501-2216 2012-02-03
1023380243 Yvonne Thomas Community/Behavioral Health 606 Crescent St, Waycross, GA 31501-6321 2012-02-03
1942572169 Jane Blalock Community/Behavioral Health 709 Carswell Ave, Waycross, GA 31501-4756 2012-02-03
1770855868 Bertha Richardsaon Community/Behavioral Health 1614 Carswell Ave, Waycross, GA 31503 2012-02-03
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Competitor

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City WAYCROSS
Zip Code 31501

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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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