MCDUFFIE COUNTY MENTAL HEALTH (NPI# 1336478759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336478759 |
| Entity Type | Organization |
| Organization Name | MCDUFFIE COUNTY MENTAL HEALTH |
| Practice Address |
306 Greenway St Thomson GA 30824-2723 |
| Practice Telephone | 7065952739 |
| Mailing Telephone | 7065952739 |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2009-12-14 |
| Authorized Official Name | MS. WANDA JESSIE (BILLING MANAGER) |
| Authorized Official Telephone | 7064324858 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 0006060317B | 05 |
| Street Address |
306 GREENWAY ST |
| City | THOMSON |
| State | GA |
| Zip Code | 30824-2723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306591 | Connie Deverell Tam | Pharmacist | Walmart Pharmacy #1658, 2205 Harrison Rd, Thomson, GA 30824 | 2020-11-02 |
| 1750878039 | Amber Nichole Wood | Student in an Organized Health Care Education/Training Program | 355 Bard Avenue Department of Psychiatry, 1st Floor, Staten Island, NY 30824 | 2018-04-22 |
| 1861854176 | Family Care Group of Thomson,inc | Family Medicine | 2508 University Dr, Thomson, GA 30824 | 2016-03-25 |
| 1174900674 | Carolyn Louise Samuels | Behavioral Analyst | 1139 Washington Rd, Thomson, GA 30824 | 2015-05-04 |
| 1013343953 | David Carroll Hughes | Dentist | 540 West Hill St., Thomson, GA 30824 | 2013-09-24 |
| 1295067270 | Wesley Alan Mccarthy | Counselor | 114 East Hall Street, Thompson, GA 30824 | 2010-02-02 |
| 1417280439 | Charles Edward Jones | Counselor | 114 East Hall St, Thomson, GA 30824 | 2009-09-09 |
| 1700055779 | Drs Jopling and Brunson | Dentist | 115 Gordon Street, Thomson, GA 30824 | 2008-02-25 |
| 1871630483 | Robert F. Polglase | Emergency Medicine | 521 Hill St, S.w., Thomson, GA 30824 | 2007-01-31 |
| 1861553141 | The Homeplace Adult Daycare, Inc. | Custodial Care Facility | 1324 Wrightsboro Road, Thomson, GA 30824 | 2006-12-12 |
| Find all providers in zip 30824 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596646 | Bhg Lxvi, LLC | Clinic/Center | 1021 Alabama Avenue, Bremen, GA 30110 | 2020-10-22 |
| 1801495213 | New Orleans Caring Hands LLC | Clinic/Center | 4696 Balley Shannon Dr Se, Mableton, GA 30126-1763 | 2020-10-19 |
| 1205434594 | Sunflower Counseling Center | Clinic/Center | 950 Eagles Landing Pkwy Ste 202, Stockbridge, GA 30281-7343 | 2020-10-09 |
| 1124632013 | Dunwoody Mental Health Center | Clinic/Center | 4594 Barclay Dr, Atlanta, GA 30338-5883 | 2020-09-08 |
| 1093327488 | Elevate Behavioral Health | Clinic/Center | 304 Cumberland Way Se, Smyrna, GA 30080-7766 | 2020-08-18 |
| 1346851292 | Solacium Holding LLC | Clinic/Center | 960 N Point Pkwy Ste 450, Alpharetta, GA 30005-2034 | 2020-08-13 |
| 1962012153 | Janel Falvey LLC | Clinic/Center | 340 Eisenhower Dr Bldg 300, Savannah, GA 31406-1600 | 2020-08-03 |
| 1386252948 | Endpoints LLC | Clinic/Center | 3036 General Lee Rd, Macon, GA 31204-1518 | 2020-07-20 |
| 1790393684 | Reclaimu Healthcare Services, LLC | Clinic/Center | 2037 Ema Dell Pl, Loganville, GA 30052-5375 | 2020-07-16 |
| 1972120970 | Imagine New Beginnings | Clinic/Center | 3125 Colonial Way Apt J, Atlanta, GA 30341-5339 | 2020-06-25 |
| 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.