MIDDLE FLINT COMMUNITY SERVICE BOARD (NPI# 1366610081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366610081 |
| Entity Type | Organization |
| Organization Name | MIDDLE FLINT COMMUNITY SERVICE BOARD |
| Other Organization Name | MIDDLE FLINT BEHAVIORAL HREALTHCARE |
| Practice Address |
615 Jackson Ave Americus GA 31709-4172 |
| Mailing Address |
415 N Jackson St P.o. Drawer 1348 Americus GA 31709-3015 |
| Practice Telephone | 2299312470 |
| Practice Fax Number | 2299312474 |
| Mailing Telephone | 2299312470 |
| Mailing Fax Number | 2299312474 |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-15 |
| Authorized Official Name | PAM DAVIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2299312470 |
| Is Organization Subpart | Y |
| Parent Organization Name | MIDDLE FLINT AREA COMMUNITY SERVICE BOARD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Middle Flint Behavioral HrealthCare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891963518 | Middle Flint Community Service Board | Community/Behavioral Health | 100 Heads Ave, Americus, GA 31709-3616 | 2008-02-15 |
| 1346418068 | Middle Flint Community Service Board | Community/Behavioral Health | 144 Brannan Ave, Americus, GA 31709-4012 | 2008-02-15 |
| 1447428164 | Middle Flint Community Service Board | Community/Behavioral Health | 696 Mcmath Mill Rd, Americus, GA 31719-8660 | 2008-02-15 |
| 1811165699 | Middle Flint Community Service Board | Community/Behavioral Health | 100 Macon St North, Oglethorpe, GA 31068 | 2008-02-14 |
| 1528236320 | Middle Flint Community Service Board | Community/Behavioral Health | 415 N. Jackson Street, Americus, GA 31709-3015 | 2008-02-14 |
| 1538337647 | Middle Flint Community Service Board | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 421 Elm Street, Americus, GA 31709-3704 | 2008-02-12 |
| 1982872172 | Middle Flint Community Service Board | Community/Behavioral Health | 106 W 4th Ave, Cordele, GA 31015-3214 | 2008-02-11 |
| 1053589176 | Middle Flint Community Service Board | Community/Behavioral Health | 1404 E Union St, Vienna, GA 31092-7530 | 2008-02-11 |
| 1427226547 | Middle Flint Community Service Board | Community/Behavioral Health | 1310 Southerfield Rd, Americus, GA 31719-8105 | 2008-02-11 |
| 1538337258 | Middle Flint Community Service Board | Community/Behavioral Health | 701 Jackson Ave, Americus, GA 31709-4174 | 2008-02-15 |
| Street Address |
615 JACKSON AVE |
| City | AMERICUS |
| State | GA |
| Zip Code | 31709-4172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113668 | Sherita Patricia Green | Non-emergency Medical Transport (VAN) | 397 Brady Road, Americus, GA 31709 | 2020-10-31 |
| 1679199723 | Alitha Lannette Hawkins | Licensed Practical Nurse | 415 Tripp St, Americus, GA 31709 | 2020-06-24 |
| 1346710076 | Julie Howell Horn | Nurse Practitioner | 199a Southland Rd., Americus, GA 31709 | 2018-11-26 |
| 1831667948 | Heather Marie Pickle | Nurse Practitioner | 915 Elmo Street, Americus, GA 31709 | 2018-11-06 |
| 1114442100 | Thunderbolt Trailers, Inc. | Durable Medical Equipment & Medical Supplies | 128 E Forsyth St Unit 6542, Americus, GA 31709 | 2017-08-10 |
| 1083137384 | Lannelle German Wilson | Social Worker | 100 Heads Avenue, Americus, GA 31709 | 2017-07-19 |
| 1386173706 | April Owen | Behavioral Analyst | 302 E Furlow, Americus, GA 31709 | 2017-06-08 |
| 1396274726 | Dionna Shaunta Johnson | Case Manager/Care Coordinator | 211 North Jackson Street, Americus, GA 31709 | 2017-06-08 |
| 1972049377 | Lionel Brown | Nurse Anesthetist, Certified Registered | 211 Elliott, Americus, GA 31709 | 2017-01-10 |
| 1528426400 | Pamela Gordon | Counselor | 411 North Jackson Street, Americus, GA 31709 | 2016-02-05 |
| Find all providers in zip 31709 | ||||
| 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 |
|---|---|---|---|---|
| 1679135453 | Middle Flint Area Community Service Board | Community/Behavioral Health | 100 Plantation Ridge Dr, Americus, GA 31709-5283 | 2019-07-02 |
| 1518201375 | Middle Flint Area Community Service Board | Community/Behavioral Health | 1524 S Lee St, Americus, GA 31709-4413 | 2012-11-19 |
| 1730450354 | Perry Wellness Center | Community/Behavioral Health | 302 E Furlow St, Americus, GA 31709-4031 | 2012-01-13 |
| 1891963518 | Middle Flint Community Service Board | Community/Behavioral Health | 100 Heads Ave, Americus, GA 31709-3616 | 2008-02-15 |
| 1346418068 | Middle Flint Community Service Board | Community/Behavioral Health | 144 Brannan Ave, Americus, GA 31709-4012 | 2008-02-15 |
| 1558539254 | Middle Flint Behavioral Healthcare Sadt | Community/Behavioral Health | 952 Anthony Drive, Americus, GA 31709-4634 | 2008-02-15 |
| 1447428164 | Middle Flint Community Service Board | Community/Behavioral Health | 696 Mcmath Mill Rd, Americus, GA 31719-8660 | 2008-02-15 |
| 1528236320 | Middle Flint Community Service Board | Community/Behavioral Health | 415 N. Jackson Street, Americus, GA 31709-3015 | 2008-02-14 |
| 1487822599 | Middle Flint Area Community Service Board | Community/Behavioral Health | 415 North Jackson Street, Americus, GA 31709-3015 | 2008-02-12 |
| 1124296249 | Middle Flint Community Board | Community/Behavioral Health | 523 Hwy 280 E, Americus, GA 31709-5400 | 2008-02-11 |
| Find all providers in AMERICUS | ||||
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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.