GEORGIA PINES COMMUNITY SERVICE BOARD (NPI# 1245739879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245739879 |
| Entity Type | Organization |
| Organization Name | GEORGIA PINES COMMUNITY SERVICE BOARD |
| Practice Address |
407 Cloverdale Drive Thomasville GA 31792 |
| Mailing Address |
1102 Smith Ave Ste K Thomasville GA 31792-5740 |
| Practice Telephone | 2292338904 |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-02-09 |
| Authorized Official Name | JONAS NORMAN (CLERICAL SUPPORT) |
| Authorized Official Telephone | 2292255031 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000754795H | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376042838 | Georgia Pines Community Service Board | Community/Behavioral Health | 105 Bermuda St, Thomasville, GA 31792-4018 | 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 |
| 1114084159 | Georgia Pines Community Service Board | Community/Behavioral Health | 367 Shoreline Dr, Apt A&b, Thomasville, GA 31757-2577 | 2007-01-02 |
| 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 |
407 CLOVERDALE DRIVE |
| City | THOMASVILLE |
| State | GA |
| Zip Code | 31792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932613551 | Diana Diaz | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 | 2017-11-17 |
| 1194249425 | Bobbie Frazier | Contractor | 400 Cloverdale Dr, Thomasville, GA 31792 | 2017-07-28 |
| 1598132292 | Southern Scripts, LLC | Pharmacy | 501 Gordon Avenue, Thomasville, GA 31792 | 2015-08-28 |
| 1508248915 | Elizabeth Nicole Keen | Behavioral Analyst | 121 Covington Ave Apt 9, Thomasville, GA 31792 | 2015-06-22 |
| 1417341579 | Sheila L Stanley | Counselor | 301 Summercreek Cove, Thomasville, GA 31792 | 2015-03-26 |
| 1457749301 | Ashley Lamb | Speech-Language Pathologist | 1203 East Jackson Street, Thomasville, GA 31792 | 2014-12-30 |
| 1831403880 | Somnoquest | Durable Medical Equipment & Medical Supplies | 556 Hall Road, Thomasville, GA 31792 | 2010-08-02 |
| 1508000183 | Kashyap B Choksi | Internal Medicine | 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 | 2009-04-27 |
| 1205008786 | Mark J Glaccum | Chiropractor | 415 Gordon Avenue, Thomasville, GA 31792 | 2008-03-25 |
| 1154593614 | Earl Douglas Crew Jr Od | Optometrist | 15043 Us Highway 19 South, Thomasville, GA 31792 | 2008-03-25 |
| Find all providers in zip 31792 | ||||
| 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 |
| 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 |
| 1114084159 | Georgia Pines Community Service Board | Community/Behavioral Health | 367 Shoreline Dr, Apt A&b, Thomasville, GA 31757-2577 | 2007-01-02 |
| 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 | 31792 |
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.