GEORGIA PINES COMMUNITY SERVICE BOARD (NPI# 1114084159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114084159 |
| Entity Type | Organization |
| Organization Name | GEORGIA PINES COMMUNITY SERVICE BOARD |
| Practice Address |
367 Shoreline Dr Apt A&b Thomasville GA 31757-2577 |
| Mailing Address |
1102 Smith Ave Thomasville GA 31792-5739 |
| Practice Telephone | 2292254335 |
| Practice Fax Number | 2292254374 |
| Mailing Telephone | 2292254335 |
| Mailing Fax Number | 2292254374 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT H JONES (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2292254373 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376042838 | Georgia Pines Community Service Board | Community/Behavioral Health | 105 Bermuda St, Thomasville, GA 31792-4018 | 2018-02-09 |
| 1245739879 | Georgia Pines Community Service Board | Community/Behavioral Health | 407 Cloverdale Drive, Thomasville, GA 31792 | 2018-02-09 |
| 1003084252 | Georgia Pines Community Service Board | Community/Behavioral Health | 503 W Alice St, Bainbridge, GA 39819-4919 | 2008-02-11 |
| 1508906579 | Georgia Pines Community Service Board | Community/Behavioral Health | 212 N Walker St, Quitman, GA 31643-2034 | 2007-02-07 |
| 1831255173 | Georgia Pines Community Service Board | Community/Behavioral Health | 349 Shoreline Drive, Thomasville, GA 31757 | 2006-12-29 |
| 1710043377 | Georgia Pines Community Service Board | Community/Behavioral Health | 525 Cassidy Rd, Thomasville, GA 31792-4028 | 2006-12-28 |
| 1518023373 | Georgia Pines Community Service Board | Community/Behavioral Health | 359 Shoreline Dr, Apt A&b, Thomasville, GA 31757-2577 | 2006-12-28 |
| 1174689756 | Georgia Pines Community Service Board | Community/Behavioral Health | 14244 Us Highway 19 S, Thomasville, GA 31757-4800 | 2006-12-28 |
| 1376608596 | Georgia Pines Community Service Board | Community/Behavioral Health | 339 Pride St, Pelham, GA 31779-5370 | 2006-12-27 |
| 1063577286 | Georgia Pines Community Service Board | Community/Behavioral Health | 1641 N Broad St, Cairo, GA 39828-1160 | 2006-12-27 |
| Street Address |
367 SHORELINE DR APT A&B |
| City | THOMASVILLE |
| State | GA |
| Zip Code | 31757-2577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235489683 | Albany Area Primary Health Care, Inc | Clinic/Center | 14540 Us Hwy 19 S Ste#1, Thomasville, GA 31757 | 2012-09-13 |
| 1497942858 | Robert Michael Donovan | Physician Assistant | 3851 Ga Highway 122, Thomasville, GA 31757 | 2007-10-01 |
| 1831255173 | Georgia Pines Community Service Board | Community/Behavioral Health | 349 Shoreline Drive, Thomasville, GA 31757 | 2006-12-29 |
| 1427131952 | Alan Sanders | Dentist | 396 Liberty Street, Thomasville Dental Center, Thomasville, GA 31757 | 2006-10-20 |
| 1588760367 | Todd Anthony Hanscom | Chiropractor | 17020 Us Hwy 19 North, Thomasville, GA 31757 | 2006-09-16 |
| 1396107447 | Jodi Michelle Cox Davalos | Dentist | 215 Constitution Ave, Thomasville, GA 31757 | 2016-03-27 |
| 1265598767 | Thomasville Dental Center | Dentist | 396 Liberty Street, Thomasville, GA 31757 | 2006-12-29 |
| 1548721053 | Lisa Taylor | Nurse Practitioner | 669 Saint Paul Rd, Thomasville, GA 31757-0704 | 2019-03-27 |
| 1508429861 | Bionca Juannay Stewart | Social Worker | 481 Point Rd, Thomasville, GA 31757-0938 | 2019-04-22 |
| 1912524067 | Kuluvanda Quarlette Cason | Licensed Practical Nurse | 241 Point Rd, Thomasville, GA 31757-0940 | 2020-07-05 |
| Find all providers in zip 31757 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780174995 | Alexander Youth Network | Community/Behavioral Health | 401 Liberty Dr, Thomasville, NC 27360-4855 | 2018-05-14 |
| 1376042838 | Georgia Pines Community Service Board | Community/Behavioral Health | 105 Bermuda St, Thomasville, GA 31792-4018 | 2018-02-09 |
| 1245739879 | Georgia Pines Community Service Board | Community/Behavioral Health | 407 Cloverdale Drive, Thomasville, GA 31792 | 2018-02-09 |
| 1417490418 | Another Way Counseling and Hypnosis | Community/Behavioral Health | 422 Julian Ave, Thomasville, NC 27360-4835 | 2016-11-22 |
| 1609282698 | Heritage Foundation Inc | Community/Behavioral Health | 330 Remington Ave, Thomasville, GA 31792-5523 | 2014-07-10 |
| 1811271992 | Daymark Recovery Services Inc | Community/Behavioral Health | 175 Watford Rd, Thomasville, NC 27360-9012 | 2011-10-06 |
| 1831255173 | Georgia Pines Community Service Board | Community/Behavioral Health | 349 Shoreline Drive, Thomasville, GA 31757 | 2006-12-29 |
| 1710043377 | Georgia Pines Community Service Board | Community/Behavioral Health | 525 Cassidy Rd, Thomasville, GA 31792-4028 | 2006-12-28 |
| 1518023373 | Georgia Pines Community Service Board | Community/Behavioral Health | 359 Shoreline Dr, Apt A&b, Thomasville, GA 31757-2577 | 2006-12-28 |
| 1174689756 | Georgia Pines Community Service Board | Community/Behavioral Health | 14244 Us Highway 19 S, Thomasville, GA 31757-4800 | 2006-12-28 |
| Find all providers in THOMASVILLE | ||||
| City | THOMASVILLE |
| Zip Code | 31757 |
Please comment or provide details below to improve the information on GEORGIA PINES COMMUNITY SERVICE BOARD.
| 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.