DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES (NPI# 1093046005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093046005 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES |
| Other Organization Name | EAST CENTRAL REGIONAL HOSPITAL |
| Practice Address |
3405 Mike Padgett Hwy Augusta GA 30906-3815 |
| Mailing Address |
100 Myrtle Blvd Gracewood GA 30812-1500 |
| Practice Telephone | 7067927026 |
| Practice Fax Number | 7067927314 |
| Mailing Telephone | 7067902030 |
| Mailing Fax Number | 7067902025 |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2015-05-20 |
| Authorized Official Name | MR. PAUL BROCK (REGIONAL HOSPITAL ADMINISTRATOR) |
| Authorized Official Telephone | 7067902030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 121-231 | GA | Hospitals |
| Other Name | Type Code |
|---|---|
| East Central Regional 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 |
| 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 |
| 1760617229 | Department of Behavioral Health and Developmental Disabilities | Psychiatric Hospital | 705 N Division St Nw, Rome, GA 30165-1454 | 2009-05-27 |
| Street Address |
3405 MIKE PADGETT HWY |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30906-3815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548288632 | Mona H Hanna | Psychiatry & Neurology | 3405 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2006-07-17 |
| 1912521394 | Cassandra Groth | Psychologist | 3405 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2020-06-02 |
| 1619536737 | David Armando Vivas Villarreal | Psychiatry & Neurology | 3405 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2019-06-12 |
| 1699261487 | Latasha R Ford | Nurse Practitioner | 3405 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2018-07-05 |
| 1548781453 | Tracy Casanova | Psychologist | 3405 Mike Padgett Hwy, Augusta, GA 30906 | 2017-06-30 |
| 1811448806 | Christina M Daniels | Nurse Practitioner | 3405 Mike Padgett Hwy, Augusta, GA 30906 | 2016-10-14 |
| 1528489523 | Laurie Ragatz | Psychologist | 3405 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2013-12-18 |
| 1396176145 | Linda Vitacco | Psychologist | 3405 Mike Padgett Hwy, Attention Patient Accounts, Augusta, GA 30906-3815 | 2013-12-04 |
| 1669809455 | Lynne Anne Daurelle | Psychologist | 3405 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2013-10-11 |
| 1255681243 | Maria Bratoeva | Nurse Practitioner | 3405 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2012-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969432 | Barton Chapel Dental Group, LLC | Dentist | 2755 Barton Chapel Road, Augusta, GA 30906 | 2020-04-01 |
| 1255897419 | Pediatric Mobility Innovations | Durable Medical Equipment & Medical Supplies | 3114 Augusta Tech Drive Suite 404, Augusta, GA 30906 | 2019-02-13 |
| 1023539731 | Kristy Lee Gibbs | Registered Nurse | 3421 Mike Padgett Hwy Bldg C, Augusta, GA 30906 | 2017-07-03 |
| 1194186031 | Clifton Nane Williams | Counselor | 3230 Hampton Circle, Augusta, GA 30906 | 2016-03-18 |
| 1376929661 | Catherine A. Ganzy | Social Worker | 3405 Mike Padgett Highway; Building 201, East Central Regional Hosptial, Augusta, GA 30906 | 2015-08-10 |
| 1962810358 | Fatemeh Azadeh Paziraei | Dentist | 1631 Gordon Highway, Augusta Smiles Youth Dentistry, Augusta, GA 30906 | 2014-07-29 |
| 1568809770 | Brandon Jennings | Occupational Therapy Assistant | 2388 Old Mcduffie Rd, Augusta, GA 30906 | 2013-05-29 |
| 1811266646 | Eddie P Johnson IIi, Dmd, PC | Preferred Provider Organization | 2755 Barton Chapel Rd, Augusta, GA 30906 | 2011-12-23 |
| 1366739021 | Kerensa A Cooks | Registered Nurse | 3421 Mike Padgett Highway, Serenity Behavioral Health Systems, Augusta, GA 30906 | 2011-07-01 |
| 1265737423 | Pidcock Chiropractic, Inc. | Chiropractor | 3028 Peach Orchard Rd., Augusta, GA 30906 | 2011-01-20 |
| Find all providers in zip 30906 | ||||
| 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 |
|---|---|---|---|---|
| 1053319566 | State of Maine | Psychiatric Hospital | 250 Arsenal St, Augusta, ME 04333-0011 | 2005-07-08 |
| 1306940879 | Va Medical Center | Psychiatric Hospital | 1 Freedom Way, Augusta, GA 30904-6258 | 2006-09-12 |
| 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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| 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.