GEORGIA MOUNTAINS COMMUNITY SERVICES (NPI# 1245541192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245541192 |
| Entity Type | Organization |
| Organization Name | GEORGIA MOUNTAINS COMMUNITY SERVICES |
| Other Organization Name | AVITA COMMUNITY PARTNERS |
| Practice Address |
5700 Fernside Dr Toccoa GA 30577-8942 |
| Mailing Address |
4331 Thurmon Tanner Rd Flowery Branch GA 30542-2829 |
| Practice Telephone | 7068866521 |
| Practice Fax Number | 6785135836 |
| Mailing Telephone | 6785135733 |
| Mailing Fax Number | 6785135836 |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2010-06-25 |
| Authorized Official Name | KAREN R TUCKER (BILLING MANAGER) |
| Authorized Official Telephone | 6785135733 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000666553E | 05 |
| Other Name | Type Code |
|---|---|
| Avita Community Partners | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639699705 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 1901 Columns Dr Apt 1901, Gainesville, GA 30504-5954 | 2017-06-21 |
| 1295275873 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 1143 Racetrack Rd, Eastanollee, GA 30538-2928 | 2017-03-02 |
| 1366708448 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 117 Deerfield Lane, Royston, GA 30662-5074 | 2012-04-03 |
| 1598021685 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 17 Ayersville Road, Toccoa, GA 30577-8541 | 2012-04-03 |
| 1447516539 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 1040 Grove Park Lane, Cumming, GA 30577-6467 | 2012-04-03 |
| 1407154727 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 10 B Hughes St, Blairsville, GA 30512 | 2011-03-10 |
| 1093011983 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 3434 Old Oak Rdg, Gainesville, GA 30507-8571 | 2011-02-10 |
| 1770888737 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 4645 Turning Leaf Dr, Gillsville, GA 30543 | 2011-01-21 |
| 1255648432 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 1439 Eastonalee Road, Eastonalee, GA 30538 | 2010-09-09 |
| 1467766428 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 2912 Evergreen Hollow Drive, Gainesville, GA 30507 | 2010-08-02 |
| Street Address |
5700 FERNSIDE DR |
| City | TOCCOA |
| State | GA |
| Zip Code | 30577-8942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750492781 | Georgia Mountains Community Services | Counselor | 5700 Fernside Dr, Toccoa, GA 30577-8942 | 2006-08-31 |
| 1003970187 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 5700 Fernside Dr, Toccoa, GA 30577-8942 | 2006-12-21 |
| 1215091970 | Georgia Mountains Community Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5700 Fernside Dr, Toccoa, GA 30577-8942 | 2006-12-20 |
| 1639233471 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 5700 Fernside Dr, Toccoa, GA 30577-8942 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220513 | Jennifer Lynn Harper | Counselor | 46 Rice Lewis Gilliard Way, Toccoa, GA 30577 | 2020-06-19 |
| 1912528696 | Pittard Clinic LLC | Clinic/Center | 1654 Falls Rd, Toccoa, GA 30577 | 2020-05-04 |
| 1518313733 | Shellei Adams | Occupational Therapist | 23 Big A Rd, Toccoa, GA 30577 | 2016-05-06 |
| 1902212814 | Rebecca Coursey | Counselor | 1763 Fernside Dr., Avita Community Partners, Toccoa, GA 30577 | 2014-07-11 |
| 1427478742 | Cynthia Hemphill Wansley | Pharmacist | 3886 Georgia Highway 17, Toccoa, GA 30577 | 2014-04-25 |
| 1265850168 | Karen Kelley Colwell | Pharmacist | 3886 Hwy 17, Toccoa, GA 30577 | 2014-03-29 |
| 1972808160 | Cossar Chiropractic | Chiropractor | 2766 Ga Hwy 17, Toccoa, GA 30577 | 2011-01-19 |
| 1811216070 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 130 Haynes St, Toccoa, GA 30577 | 2010-05-26 |
| 1942435516 | Meadows Surgical Arts | Specialist | 203 Remsdale Rd, Toccoa, GA 30577 | 2009-05-26 |
| 1609011816 | Bryan Gerald Wood | Pharmacist | 102 N Sage Street, Stewart's Downtown Discount Drugs, Toccoa, GA 30577 | 2008-12-03 |
| Find all providers in zip 30577 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385862 | Hickory Log Vocational School Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3680 Highway 411 Ne, White, GA 30184-2427 | 2020-10-28 |
| 1801403050 | Safe Haven Personal Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10875 Abercorn St Apt 132, Savannah, GA 31419-1843 | 2020-09-30 |
| 1659987931 | Pinkies Place | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 216 Self St, Warner Robins, GA 31088-5506 | 2020-09-22 |
| 1629680293 | Caregiver Ga, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3736 Executive Center Dr Ste B, Augusta, GA 30907-2360 | 2020-08-17 |
| 1730799073 | Victory Won Counseling and Res Care Prof. Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5014 Snapfinger Woods Dr, Decatur, GA 30035-4003 | 2020-08-02 |
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1619519709 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 516 Freedom Trl, Brunswick, GA 31525-4712 | 2019-10-10 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1467013821 | Csb of East Central Ga | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5101 Parnell Way, Martinez, GA 30907-8896 | 2019-06-26 |
| 1013474915 | Community Service Board of East Central Georgia | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1715 Lawerence Rd, Hephzibah, GA 30815-4445 | 2019-02-27 |
| Find all providers with the same taxonomy | ||||
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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.