GEORGIA DEPARTMENT OF HUMAN RESOURCES


Address: 400 South Pinetree Blvd, Thomasville, GA 31792-7128
Phone: 2292273004

GEORGIA DEPARTMENT OF HUMAN RESOURCES (NPI# 1255324588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255324588
Entity Type Organization
Organization Name GEORGIA DEPARTMENT OF HUMAN RESOURCES
Other Organization Name SOUTHWESTERN STATE HOSPITAL
Practice Address 400 South Pinetree Blvd
Thomasville
GA 31792-7128
Mailing Address Po Box 1378
Patient Billing Dept
Thomasville
GA 31799-1378
Practice Telephone 2292273004
Practice Fax Number 2292272663
Mailing Telephone 2292273004
Mailing Fax Number 2292272663
Enumeration Date 2005-08-23
Last Update Date 2008-09-10
Authorized Official Name MRS. HILIARY HOO-YOU (REGIONAL HOSPITAL ADMINISTRATOR)
Authorized Official Telephone 2292273021
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 283Q00000X Psychiatric Hospital 136-241 GA Hospitals

Other Provider/Organization Names

Other Name Type Code
Southwestern State Hospital Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1356586259 Georgia Department of Human Resources Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1631 Valley Cir, Milledgeville, GA 31062-0001 2008-12-05
1609029925 Georgia Department of Human Resources Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 138 Swint Ave Se, Milledgeville, GA 31061-3928 2008-10-30
1154597672 Georgia Department of Human Resources Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 120 Daphney St Se, Milledgeville, GA 31061-4342 2008-05-05
1184895823 Georgia Department of Human Resources Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 419 Moye Dr, Sandersville, GA 31082-7624 2008-03-21
1841487667 Georgia Department of Human Resources General Acute Care Hospital 2400 Vinson Hwy, Milledgeville, GA 31062-0001 2007-09-25
1679614515 Georgia Department of Human Resources Clinic/Center 1309 Redmond Rd Nw, Rome, GA 30165-1307 2007-02-12
1164583274 Georgia Department of Human Resources Case Management 2 Peachtree St., 9th Fl., Atlanta, GA 30303-3142 2006-12-12
1568530798 Georgia Department of Human Resources Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3533 Stafford St, Hephzibah, GA 30815-6625 2006-12-04
1366510067 Georgia Department of Human Resources Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2311 Mura Dr, Augusta, GA 30906-4819 2006-12-01
1629146311 Georgia Department of Human Resources Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3518 Snowden Dr, Hephzibah, GA 30815-6631 2006-12-01

Office Location

Street Address 400 SOUTH PINETREE BLVD
City THOMASVILLE
State GA
Zip Code 31792-7128

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487780227 Southwestern State Hospital Psychiatric Hospital 400 South Pinetree Blvd, Thomasville, GA 31792-7128 2007-02-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245739879 Georgia Pines Community Service Board Community/Behavioral Health 407 Cloverdale Drive, Thomasville, GA 31792 2018-02-09
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
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Taxonomy Information

Taxonomy Code 283Q00000X
Grouping Hospitals
Classification Psychiatric Hospital

Taxonomy Definition

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447482880 Department of Behavioral Health & Developmental Disabilities Psychiatric Hospital 400 S Pinetree Blvd, Patient Billing Dept, Thomasville, GA 31792-7128 2009-08-19
1265667463 Department of Behavioral Health and Developmental Disabilities Psychiatric Hospital 400 S Pinetree Blvd, Thomasville, GA 31792-7128 2009-05-18
1083849285 Department of Behavioral Health and Developmental Disabilities Psychiatric Hospital 400 S Pinetree Blvd, Patient Billing Dept, Thomasville, GA 31792-7128 2009-05-18
1487780227 Southwestern State Hospital Psychiatric Hospital 400 South Pinetree Blvd, Thomasville, GA 31792-7128 2007-02-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922485804 Mildred Grant Psychiatric Hospital 255 Sumner Lakes Rd, Sumner, GA 31789-4431 2015-04-30
1013259035 Janet Warrington Psychiatric Hospital 438 Clem Lowell Rd, Carrollton, GA 30116-9255 2013-03-18
1093088643 Ramsay Youth Services of Georgia, Inc. Psychiatric Hospital 3500 Riverside Dr, Macon, GA 31210-2509 2012-02-13
1518295518 Reentry Corporation of America Psychiatric Hospital 260 Peachtree St, Atlanta, GA 30303-1202 2009-12-02
1427292333 Uhs of Savannah LLC Psychiatric Hospital 633 Stephenson Ave, Savannah, GA 31405-5970 2009-04-22
1770742132 Riverwoods Behavioral Health, LLC Psychiatric Hospital 223 Medical Center Drive, Riverdale, GA 30274 2008-06-02
1306913736 Uhs of Laurel Heights, Lp Psychiatric Hospital 934 Briarcliff Rd Ne, Atlanta, GA 30306-2618 2006-11-29
1285663385 Georgia Department of Human Resources Psychiatric Hospital 705 North Division Street Nw, Building 103 - Clinical Director's Office, Rome, GA 30165-1454 2006-07-01
1336114321 Talbott Recovery Campus Psychiatric Hospital 5355 Hunter Rd, Atlanta, GA 30349-2594 2006-02-22
1205809571 Turning Point Care Center LLC Psychiatric Hospital 3015 Veterans Pkwy S, Moultrie, GA 31788-6705 2006-02-08
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Competitor

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City THOMASVILLE
Zip Code 31792

Improve Information

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Dataset Information

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.

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