ADVANTAGE BEHAVIORAL HEALTH SYSTEMS (NPI# 1225579758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225579758 |
| Entity Type | Organization |
| Organization Name | ADVANTAGE BEHAVIORAL HEALTH SYSTEMS |
| Practice Address |
240 Mitchell Bridge Rd Athens GA 30606 |
| Mailing Address |
250 North Ave Athens GA 30601-2244 |
| Practice Telephone | 7063896789 |
| Practice Fax Number | 7062277249 |
| Mailing Telephone | 7063896789 |
| Mailing Fax Number | 7062277249 |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-03-16 |
| Authorized Official Name | OLIVER J BOOKER (CEO) |
| Authorized Official Telephone | 7063896789 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities | ||
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205329687 | Advantage Behavioral Health Systems | Clinic/Center | 638 Michael Cir., Monroe, GA 30655 | 2018-06-11 |
| 1215420690 | Advantage Behavioral Health Systems | Clinic/Center | 1801 Prospect Rd., Madison, GA 30650 | 2018-06-11 |
| 1154841989 | Advantage Behavioral Health Systems | Clinic/Center | 130 Mill Center Blvd, Athens, GA 30606 | 2017-06-22 |
| 1942270558 | Advantage Behavioral Health Systems | Clinic/Center | 250 North Ave, Athens, GA 30601-2244 | 2006-01-25 |
| 1700449477 | Advantage Behavioral Health Systems | Clinic/Center | 126 Barrington Dr, Athens, GA 30605-3580 | 2019-04-18 |
| 1376035444 | Advantage Behavioral Health Systems | Clinic/Center | 240 Mitchell Bridge Rd, Athens, GA 30606-2043 | 2018-06-04 |
| 1841782927 | Advantage Behavioral Health Systems | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 240 Mitchell Bridge Rd, Athens, GA 30606-2043 | 2018-06-04 |
| 1780030668 | Advantage Behavioral Health Systems | Counselor | 240 North Ave, Athens, GA 30601-2244 | 2016-05-10 |
| 1588089379 | Advantage Behavioral Health Systems | Substance Abuse Rehabilitation Facility | 250 North Ave, Athens, GA 30601-2244 | 2014-03-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ADVANTAGE BEHAVIORAL HEALTH SYSTEMS | 250 Bray St, Athens, GA 30601-2203 |
| Street Address |
240 MITCHELL BRIDGE RD |
| City | ATHENS |
| State | GA |
| Zip Code | 30606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487755724 | Jose Lucas Cangiano | Psychiatry & Neurology | 240 Mitchell Bridge Rd, Athens, GA 30606-2043 | 2006-09-26 |
| 1538760681 | Lindsay Mccoy | Pharmacist | 240 Mitchell Bridge Rd, Athens, GA 30606-2043 | 2020-11-05 |
| 1912520933 | Doneille Michell Webster | Licensed Practical Nurse | 240 Mitchell Bridge Rd, Athens, GA 30606-2043 | 2020-05-26 |
| 1649892605 | Amy Creek | Registered Nurse | 240 Mitchell Bridge Rd, Athens, GA 30606-2043 | 2020-05-13 |
| 1003438979 | Fanie Wehmanen | Registered Nurse | 240 Mitchell Bridge Rd, Athens, GA 30606-2043 | 2020-05-13 |
| 1386266468 | Rachel Anne Johnson | Social Worker | 240 Mitchell Bridge Rd, Athens, GA 30606-2043 | 2020-05-12 |
| 1336761451 | Kimberly Harding | Licensed Practical Nurse | 240 Mitchell Bridge Rd, Athens, GA 30606-2043 | 2020-05-12 |
| 1669094959 | Reno James Roberts | Social Worker | 240 Mitchell Bridge Rd, Athens, GA 30606-2043 | 2020-05-11 |
| 1760004121 | April Lynne Ellison | Registered Nurse | 240 Mitchell Bridge Rd, Athens, GA 30606-2043 | 2020-05-08 |
| 1821649401 | Stephanie Denise Smith-daniel | Counselor | 240 Mitchell Bridge Rd, Athens, GA 30606-2043 | 2019-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790055432 | Trapeze Therapy, LLC | Clinic/Center | 160 Tracy St, Suite A, Athens, GA 30601-1979 | 2012-01-11 |
| 1942270558 | Advantage Behavioral Health Systems | Clinic/Center | 250 North Ave, Athens, GA 30601-2244 | 2006-01-25 |
| 1700449477 | Advantage Behavioral Health Systems | Clinic/Center | 126 Barrington Dr, Athens, GA 30605-3580 | 2019-04-18 |
| 1376035444 | Advantage Behavioral Health Systems | Clinic/Center | 240 Mitchell Bridge Rd, Athens, GA 30606-2043 | 2018-06-04 |
| 1588716955 | Abhs Supported Emp | Clinic/Center | 250 North Ave, Athens, GA 30601-2244 | 2007-01-17 |
| 1790846681 | Advantage Bhs | Clinic/Center | 250 North Ave, Business Office, Athens, GA 30601-2244 | 2006-12-13 |
| 1861568735 | Advantage Bhs | Clinic/Center | 250 North Ave, Athens, GA 30601-2244 | 2006-11-24 |
| 1255406336 | Advantage Bhs | Clinic/Center | 250 North Ave, Athens, GA 30601-2244 | 2006-11-22 |
| 1497820864 | Advantage Bhs | Clinic/Center | 250 North Ave, Athens, GA 30601-2244 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922653534 | Five Star Education Advocacy Group Inc | Clinic/Center | 978 Fellowship Rd, Fairburn, GA 30213-1789 | 2019-08-09 |
| 1205329687 | Advantage Behavioral Health Systems | Clinic/Center | 638 Michael Cir., Monroe, GA 30655 | 2018-06-11 |
| 1215420690 | Advantage Behavioral Health Systems | Clinic/Center | 1801 Prospect Rd., Madison, GA 30650 | 2018-06-11 |
| 1285149955 | Alicia Gordon | Clinic/Center | 132 Carol Cir, Fitzgerald, GA 31750-8128 | 2017-12-04 |
| 1225567597 | Vincentia Paul-constantin | Clinic/Center | 2867 Country House Lane, Buford, GA 30519 | 2017-06-08 |
| 1598158909 | Musik To Grow | Clinic/Center | 1517 Johnson Ferry Rd, Marietta, GA 30062-6493 | 2015-03-09 |
| 1356692800 | Ridgewood Personal Care Home, Inc | Clinic/Center | 1065 Murray Cir Sw, Marietta, GA 30064-3927 | 2012-09-24 |
| 1326316274 | Early/miller Day (now) | Clinic/Center | 302 Damacus Street, Blakely, GA 39823-3346 | 2011-12-07 |
| 1710255773 | Early Miller Personal Support (now) | Clinic/Center | 302 Damascus Street, Blakely, GA 39823-3346 | 2011-12-06 |
| 1790052637 | Terrell Lee (now) | Clinic/Center | 508 Oak St Se, Dawson, GA 39842-2024 | 2011-11-21 |
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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.