MIDDLE FLINT AREA COMMUNITY SERVICE BOARD (NPI# 1215934773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215934773 |
| Entity Type | Organization |
| Organization Name | MIDDLE FLINT AREA COMMUNITY SERVICE BOARD |
| Other Organization Name | WARNER ROBINS OUTPATIENT |
| Practice Address |
940 Ga Highway 96 Ste A Warner Robins GA 31088-2587 |
| Practice Telephone | 4789881002 |
| Practice Fax Number | 4789888780 |
| Mailing Telephone | 4789881002 |
| Mailing Fax Number | 4789888780 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2020-03-04 |
| Authorized Official Name | MARGARET JORDAN (RCM MANAGER) |
| Authorized Official Telephone | 2298155454 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 582105225 | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000604502AJ | 05 | |
| GA | 000604502P | 05 | |
| GA | 000604502AG | 05 | |
| GA | 000604502AP | 05 | |
| GA | 000604502A | 05 | |
| GA | 000604502AI | 05 | |
| GA | 000450128G | 05 |
| Other Name | Type Code |
|---|---|
| PHOENIX CENTER BHS | Doing Business As Name - Organization |
| Warner Robins Outpatient | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 108 Mimosa Dr, Fort Valley, GA 310303717 | 4788259045 | |
| 940 Ga Highway 96, Warner Robins, GA 310882584 | 4789881222 | |
| 108 Vassas Ct, Warner Robins, GA 310883740 | 4789880018 | |
| 200 Northspring Ct, Warner Robins, GA 310931660 | 4789231065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073136990 | Middle Flint Area Community Service Board | Public Health or Welfare | 106 W Furlow St, Americus, GA 31709-4110 | 2020-05-27 |
| 1679135453 | Middle Flint Area Community Service Board | Community/Behavioral Health | 100 Plantation Ridge Dr, Americus, GA 31709-5283 | 2019-07-02 |
| 1518201375 | Middle Flint Area Community Service Board | Community/Behavioral Health | 1524 S Lee St, Americus, GA 31709-4413 | 2012-11-19 |
| 1972771087 | Middle Flint Area Community Service Board | Community/Behavioral Health | 2501 13th Ave, Cordele, GA 31015-9122 | 2008-02-12 |
| 1609044718 | Middle Flint Area Community Service Board | Day Training, Developmentally Disabled Services | 622 Spaulding Road, Montezuma, GA 31063-1806 | 2008-02-12 |
| 1487822599 | Middle Flint Area Community Service Board | Community/Behavioral Health | 415 North Jackson Street, Americus, GA 31709-3015 | 2008-02-12 |
| 1447320205 | Middle Flint Area Community Service Board | Community/Behavioral Health | 83 Green St, Warner Robins, GA 31093-2635 | 2006-11-09 |
| 1265502025 | Middle Flint Area Community Service Board | Community/Behavioral Health | 940 Ga Highway 96 Ste C, Warner Robins, GA 31088-2585 | 2006-11-09 |
| 1366521932 | Middle Flint Area Community Service Board | Community/Behavioral Health | 410 E Church St, Fort Valley, GA 31030-3097 | 2006-11-03 |
| 1093784720 | Middle Flint Area Community Service Board | Public Health or Welfare | 415 N Jackson St, Americus, GA 31709-3015 | 2006-03-15 |
| Street Address |
940 GA HIGHWAY 96 STE A |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31088-2587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780224014 | Demetrius Hurt | Registered Nurse | 940 Ga Highway 96 Ste A, Warner Robins, GA 31088-2587 | 2020-01-15 |
| 1215576533 | Jennifer Seeger | Licensed Practical Nurse | 940 Ga Highway 96 Ste A, Warner Robins, GA 31088-2587 | 2020-01-03 |
| 1700424496 | Kaleise Tennille | Registered Nurse | 940 Ga Highway 96 Ste A, Warner Robins, GA 31088-2587 | 2019-12-13 |
| 1255979944 | Katrina Bell | Registered Nurse | 940 Ga Highway 96 Ste A, Warner Robins, GA 31088-2587 | 2019-12-13 |
| 1578101267 | Darlene Moore | Registered Nurse | 940 Ga Highway 96 Ste A, Warner Robins, GA 31088-2587 | 2019-12-13 |
| 1134767825 | Tomeika Miller | Licensed Practical Nurse | 940 Ga Highway 96 Ste A, Warner Robins, GA 31088-2587 | 2019-12-13 |
| 1669017364 | Dana Casper | Registered Nurse | 940 Ga Highway 96 Ste A, Warner Robins, GA 31088-2587 | 2019-11-18 |
| 1295370997 | April Roberson | Licensed Practical Nurse | 940 Ga Highway 96 Ste A, Warner Robins, GA 31088-2587 | 2019-11-18 |
| 1710522883 | Alicia Cain | Registered Nurse | 940 Ga Highway 96 Ste A, Warner Robins, GA 31088-2587 | 2019-11-13 |
| 1245872308 | Mary Ann Shelton | Counselor | 940 Ga Highway 96 Ste A, Warner Robins, GA 31088-2587 | 2019-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218921 | Sarah Newman | Pharmacist | 1081 Ga-96, Warner Robins, GA 31088 | 2020-09-08 |
| 1619599115 | Alana Jane Sibley | Registered Nurse | 940 Ga - 96, Warner Robins, GA 31088 | 2020-05-07 |
| 1033779657 | Jodi Lynne Pettygrove | Nurse Practitioner | 115 Havelock Cir, Warner Robins, GA 31088 | 2019-06-17 |
| 1164994901 | Gwendolyn Jordan Taylor | Registered Nurse | 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 | 2018-12-18 |
| 1447721543 | Amy Tanner | Behavioral Analyst | 200 Cresview Church Rd #1806, Warner Robins, GA 31088 | 2018-12-16 |
| 1518435676 | Phoenix Health Center | Case Management | 940 Ga-96, Warner Robins, GA 31088 | 2018-11-07 |
| 1427534320 | Jared Dean Johnson | Social Worker | 146 Lakepointe Drive, Warner Robins, GA 31088 | 2018-07-13 |
| 1285124180 | Cmp Academy & Billing Service | Contractor | 105 S Commercial Circle, Warner Robins, GA 31088 | 2018-05-16 |
| 1730692377 | Benzer Pharmacy | Pharmacy | 150 S Houston Lake Rd Ste 300, Warner Robins, GA 31088 | 2017-11-06 |
| 1821507476 | Timothy Doyle Thomas | Registered Nurse | 940-c Hwy 96, Warner Robins, GA 31088 | 2017-09-27 |
| Find all providers in zip 31088 | ||||
| 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 |
|---|---|---|---|---|
| 1538799952 | Triumphant Therapeutic Services, LLC | Community/Behavioral Health | 108 Olympia Dr Ste 202c, Warner Robins, GA 31093-3626 | 2020-01-24 |
| 1023579778 | Empowered Living Counseling and Life Coaching, LLC | Community/Behavioral Health | 409 Brantley Rdg, Warner Robins, GA 31088-2578 | 2019-03-26 |
| 1164961876 | River Edge Behavioral Health Center | Community/Behavioral Health | 281 Carl Vinson Pkwy, Suite D, Warner Robins, GA 31088-5824 | 2017-02-14 |
| 1245776665 | Providence Psychotherapy LLC | Community/Behavioral Health | 304 Cheshire Dr, Warner Robins, GA 31088-1158 | 2017-01-09 |
| 1285090662 | Clara Braswell Lpc | Community/Behavioral Health | 418 Westcliff Cir, Warner Robins, GA 31093-3099 | 2016-01-14 |
| 1184059156 | Pinnacle Counseling | Community/Behavioral Health | 151 Tabor Dr, Warner Robins, GA 31093-8703 | 2013-09-10 |
| 1225378029 | Trinity Behavioral Health | Community/Behavioral Health | 344a Corder Road, Warner Robins, GA 31088-5854 | 2013-02-15 |
| 1104188341 | Beacon Insight Counseling | Community/Behavioral Health | 104 Whiting Way Ste 200, Warner Robins, GA 31088-8055 | 2012-06-13 |
| 1699040584 | Mentor Plus Inc. | Community/Behavioral Health | 114-a South Commercial Cir, Warner Robins, GA 31088 | 2012-03-12 |
| 1750619789 | Inspire-hope Counseling and Consulting, LLC | Community/Behavioral Health | 507 N Davis Dr, Suite E, Warner Robins, GA 31093-2686 | 2009-12-02 |
| Find all providers in WARNER ROBINS | ||||
| City | WARNER ROBINS |
| Zip Code | 31088 |
Please comment or provide details below to improve the information on MIDDLE FLINT AREA 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.