GEORGIA DEPT OF HUMAN RESOURCES (NPI# 1073626347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073626347 |
| Entity Type | Organization |
| Organization Name | GEORGIA DEPT OF HUMAN RESOURCES |
| Other Organization Name | CRAIG NURSING CENTER |
| Practice Address |
189 Boone Cir Milledgeville GA 31062-7525 |
| Practice Telephone | 4784454128 |
| Mailing Telephone | 4784454128 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |
| 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 | 310500000X | Intermediate Care Facility, Mental Illness | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00438655A | 05 |
| Other Name | Type Code |
|---|---|
| Craig Nursing Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285837179 | Georgia Dept of Human Resources | Community Based Residential Treatment Facility, Mental Illness | 157 Edwards St Se, Milledgeville, GA 31061-3976 | 2007-06-07 |
| 1508988270 | Georgia Dept of Human Resources | Community Based Residential Treatment Facility, Mental Illness | 2030 Ingleside Ave, Macon, GA 31204-2028 | 2007-04-04 |
| 1588717904 | Georgia Dept of Human Resources | Community Based Residential Treatment Facility, Mental Illness | 865 North Ave, Macon, GA 31211-1809 | 2007-01-19 |
| 1518010859 | Georgia Dept of Human Resources | Community Based Residential Treatment Facility, Mental Illness | 352 St Paul St, Macon, GA 31204 | 2007-01-19 |
| 1275649410 | Georgia Dept of Human Resources | Intermediate Care Facility, Mentally Retarded | 2125 Vinson Hwy, Milledgeville, GA 31062-7525 | 2006-08-21 |
| 1871606178 | Georgia Dept of Human Resources | Intermediate Care Facility, Mentally Retarded | 451 Boland Cir, Milledgeville, GA 31062-7525 | 2006-08-17 |
| 1508979881 | Georgia Dept of Human Resources | Community Based Residential Treatment Facility, Mental Illness | 220 E Charlton St, Milledgeville, GA 31061-2906 | 2006-08-17 |
| 1346353075 | Georgia Dept of Human Resources | Intermediate Care Facility, Mentally Retarded | 171 Allen Rd, Milledgeville, GA 31062-7525 | 2006-08-16 |
| 1780797415 | Georgia Dept of Human Resources | Community Based Residential Treatment Facility, Mental Illness | 117 Oglethorpe Ave Sw, Milledgeville, GA 31061-4639 | 2006-08-16 |
| 1912910936 | Georgia Dept of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 170 Woodland Cir, Various Other Group Home Addresses, Milledgeville, GA 31061-2463 | 2006-08-14 |
| Street Address |
189 BOONE CIR |
| City | MILLEDGEVILLE |
| State | GA |
| Zip Code | 31062-7525 |
| 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 | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346238276 | James B. Craig Center | Intermediate Care Facility, Mental Illness | 200 Allen Rd, Milledgeville, GA 31062-7523 | 2005-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861861361 | Child, Youth, Adolescents, and Families | Intermediate Care Facility, Mental Illness | 1396 Southlake Plaza Dr, Morrow, GA 30260-1756 | 2015-09-15 |
| 1023453990 | Transitions Services LLC | Intermediate Care Facility, Mental Illness | 3277 Casa Linda Dr, Decatur, GA 30032-7151 | 2013-05-06 |
| 1801230586 | South Horizon Healthcare LLC | Intermediate Care Facility, Mental Illness | 4030 North Henry Blv., Suite 201, Stockbridge, GA 30281 | 2013-04-24 |
| 1871978965 | Lookout Mountain Community Services | Intermediate Care Facility, Mental Illness | 1875 Fant Dr, Fort Oglethorpe, GA 30742-3307 | 2015-07-30 |
| 1467700732 | Pathways Hopes Corner | Intermediate Care Facility, Mental Illness | 756 Woodbury Hwy, Greenville, GA 30222-1514 | 2012-08-17 |
| 1760609895 | Cassandra Gilliam | Intermediate Care Facility, Mental Illness | 450 Winn Way, Decatur, GA 30030-1715 | 2007-04-19 |
| City | MILLEDGEVILLE |
| Zip Code | 31062 |
Please comment or provide details below to improve the information on GEORGIA DEPT OF HUMAN RESOURCES.
| 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.