GEORGIA PINES COMMUNITY SERVICE BOARD


Address: 212 N Walker St, Quitman, GA 31643-2034
Phone: 2292254335

GEORGIA PINES COMMUNITY SERVICE BOARD (NPI# 1508906579) 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) 1508906579
Entity Type Organization
Organization Name GEORGIA PINES COMMUNITY SERVICE BOARD
Practice Address 212 N Walker St
Quitman
GA 31643-2034
Mailing Address 1102 Smith Ave
Thomasville
GA 31792-5739
Practice Telephone 2292254335
Practice Fax Number 2292254374
Mailing Telephone 2292254335
Mailing Fax Number 2292254374
Enumeration Date 2007-02-07
Last Update Date 2020-08-22
Authorized Official Name MR. ROBERT H JONES (EXECUTIVE DIRECTOR)
Authorized Official Telephone 2292254373
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1376042838 Georgia Pines Community Service Board Community/Behavioral Health 105 Bermuda St, Thomasville, GA 31792-4018 2018-02-09
1245739879 Georgia Pines Community Service Board Community/Behavioral Health 407 Cloverdale Drive, Thomasville, GA 31792 2018-02-09
1003084252 Georgia Pines Community Service Board Community/Behavioral Health 503 W Alice St, Bainbridge, GA 39819-4919 2008-02-11
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

Office Location

Street Address 212 N WALKER ST
City QUITMAN
State GA
Zip Code 31643-2034

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386168938 Walgreen Co Durable Medical Equipment & Medical Supplies 1103 W Screven St, Quitman, GA 31643 2017-07-26
1245774025 Shacora Travis Contractor 1200 Carney Road, Quitman, GA 31643 2016-12-13
1528358306 Thomas Jackson Barrs Pharmacist 1103 West Screven St, Quitman, GA 31643 2011-04-13
1326356767 Robert Eugene Jennings Jr. Pharmacist 510 Old Madison Rd, Quitman, GA 31643 2010-09-20
1275854515 Marable's Heart-to-heart PCh Inc Home Health 83 Church Lane, Marable's Heart-to-heart Personal Care Home Inc., Quitman, GA 31643 2010-06-22
1871718577 Mcleod-gaston Inc Community/Behavioral Health 102 N. Madison St., Quitman, GA 31643 2007-04-16
1598804197 Debra M Seleska Nurse Practitioner 907 North Court Street, Quitman, GA 31643 2007-02-06
1184078537 Brooks County Hospital Radiology 903 N Court St, Quitman, GA 31643 2016-04-21
1639523087 Brooks County Hospital Radiology 903 N Court St, Quitman, GA 31643 2016-04-21
1538513981 Brooks County Hospital Radiology 903 N Court St, Quitman, GA 31643 2016-04-21
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871718577 Mcleod-gaston Inc Community/Behavioral Health 102 N. Madison St., Quitman, GA 31643 2007-04-16
1538229703 Still Standing 2000, Inc Community/Behavioral Health 707 N Washington St, Quitman, GA 31643-1657 2006-12-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1699376160 Love, Breanna Olivia Zion Enterprise,llc(lboz): Community/Behavioral Health 9802 N Ivy Park Dr, Fortson, GA 31808-7130 2020-11-02
1578170882 Helping Hearts Behavioral Health Services, LLC Community/Behavioral Health 504 Hamlet Dr, Hampton, GA 30228-4829 2020-09-30
1982219523 Future Seekers, Inc. Community/Behavioral Health 3475 N. Desert Drive, Building 1, Suite 2100, East Point, GA 30344-3034 2020-09-10
1396359840 Just Like Family Caregivers Community/Behavioral Health 2628 Lovejoy Crossing St, Hampton, GA 30228-5995 2020-09-02
1285247270 Hudu Yoga & Therapy Community/Behavioral Health 3900 Springleaf Ct, Stone Mountain, GA 30083-4692 2020-08-28
1952914632 Brighter Dayz, Incorporated Community/Behavioral Health 1016 Howell Mill Rd Nw Apt 4408, Atlanta, GA 30318-5592 2020-08-24
1699387688 Rise Rehabilitation Services, LLC Community/Behavioral Health 738 Highland Park Trl, Atlanta, GA 30350-6706 2020-08-20
1104438373 Pivotal Counseling LLC Community/Behavioral Health 75 N Broad St, Winder, GA 30680-1907 2020-08-19
1295347888 Freemans Early Intervention Services Community/Behavioral Health 13 Peach St, Butler, GA 31006 2020-08-17
1861017634 Trinity Care Counseling Community/Behavioral Health 3475 Northwinds Parkway, 200, Alpharetta, GA 30009 2020-06-08
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Competitor

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City QUITMAN
Zip Code 31643

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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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