MIDDLE FLINT COMMUNITY SERVICE BOARD (NPI# 1427226547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427226547 |
| Entity Type | Organization |
| Organization Name | MIDDLE FLINT COMMUNITY SERVICE BOARD |
| Other Organization Name | MIDDLE FLINT COMMUNITY SERVICE BOARD |
| Practice Address |
1310 Southerfield Rd Americus GA 31719-8105 |
| 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 | 2008-02-11 |
| Last Update Date | 2008-02-11 |
| 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 |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Middle Flint Community Service Board | Other Name - Individual/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 |
| 1366610081 | Middle Flint Community Service Board | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 615 Jackson Ave, Americus, GA 31709-4172 | 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 |
| 1538337258 | Middle Flint Community Service Board | Community/Behavioral Health | 701 Jackson Ave, Americus, GA 31709-4174 | 2008-02-15 |
| Street Address |
1310 SOUTHERFIELD RD |
| City | AMERICUS |
| State | GA |
| Zip Code | 31719-8105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679933477 | Andrew Everett IIi | Counselor | 1310 Southerfield Rd, Americus, GA 31719-8105 | 2016-03-07 |
| 1346608122 | Cami Williams | Counselor | 1310 Southerfield Rd, Americus, GA 31719-8105 | 2016-02-08 |
| 1720445547 | Lynn Wheeler | Social Worker | 1310 Southerfield Rd, Americus, GA 31719-8105 | 2016-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215562293 | Dialysis Clinic Inc | Clinic/Center | 1219 S. Martin Luther King Blvd., Americuse, GA 31719 | 2020-03-10 |
| 1619533395 | Dfcs-region Viii Accounting | Transportation Broker | 1601 North Mlk Jr. Blvd Suite 110, Americus, GA 31719 | 2019-05-17 |
| 1043659477 | Valerie Alina Ross | Physical Therapist | 126 Hwy 280 West, Phoebe Sumter Medical Center, Americus, GA 31719 | 2013-06-19 |
| 1295068716 | Betty Marshall Ballard | Counselor | 189 Harper Subdivision, Americus, GA 31719 | 2009-09-16 |
| 1013149574 | Candace Evelyn Usry | Nurse Practitioner | 120 Highway 280 West, Suite C, Americus, GA 31719 | 2009-08-18 |
| 1194910273 | Perry Wellness Center, Inc. | Voluntary or Charitable | 270 Hwy 280 W, Americus, GA 31719 | 2007-09-11 |
| 1386742757 | Jocelyn Deshun Rogers | Obstetrics & Gynecology | 122 Highway 280 West, Suite B, Americus, GA 31719 | 2006-09-20 |
| 1326075383 | Sumter County Board of Health | Public Health or Welfare | 208 Rucker Street, Americus, GA 31719 | 2006-06-27 |
| 1003982299 | Fleming Burroughs | Internal Medicine | 715 N Lee St, Americus, GA 31719 | 2006-11-28 |
| 1982783155 | Willie E Greene | Counselor | 107 Bronco Dr, Americus, GA 31719-2214 | 2006-11-06 |
| Find all providers in zip 31719 | ||||
| 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.