LOOKOUT MOUNTAIN COMMUNITY SERVICES (NPI# 1528133758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528133758 |
| Entity Type | Organization |
| Organization Name | LOOKOUT MOUNTAIN COMMUNITY SERVICES |
| Practice Address |
1427 Lee Clarkson Rd Chickamauga GA 30707-3344 |
| Mailing Address |
Po Box 1027 La Fayette GA 30728-1027 |
| Practice Telephone | 7063751209 |
| Practice Fax Number | 7063751260 |
| Mailing Telephone | 7066385584 |
| Mailing Fax Number | 7066385585 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | THOMAS W. FORD (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7066385584 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00810059A-38 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518418367 | Lookout Mountain Community Services | Community/Behavioral Health | 805 Moore Ave, La Fayette, GA 30728-3321 | 2016-10-17 |
| 1518415439 | Lookout Mountain Community Services | Community/Behavioral Health | 2009 Burma Rd, Rossville, GA 30741-3813 | 2016-09-20 |
| 1356899272 | Lookout Mountain Community Services | Community/Behavioral Health | 2508 Ringgold Rd, La Fayette, GA 30728-6324 | 2016-09-20 |
| 1912245150 | Lookout Mountain Community Services | Community/Behavioral Health | 377 Wildewood Trl, Chickamauga, GA 30707-3490 | 2013-01-23 |
| 1831321058 | Lookout Mountain Community Services | Community/Behavioral Health | 100 Savannah Ln, Summerville, GA 30747-7055 | 2009-08-21 |
| 1245478288 | Lookout Mountain Community Services | Community/Behavioral Health | 207 Millsap Rd, La Fayette, GA 30728-6339 | 2009-01-29 |
| 1942448444 | Lookout Mountain Community Services | Community/Behavioral Health | 568 Poplar St, Trenton, GA 30752-2511 | 2009-01-22 |
| 1396983896 | Lookout Mountain Community Services | Community/Behavioral Health | 600 Cannon Rd, La Fayette, GA 30728-6262 | 2009-01-22 |
| 1104064609 | Lookout Mountain Community Services | Community/Behavioral Health | 2448 Corinth Rd, La Fayette, GA 30728-3869 | 2009-01-22 |
| 1750529251 | Lookout Mountain Community Services | Community/Behavioral Health | 573 Southern Rd, Chickamauga, GA 30707-4215 | 2009-01-22 |
| Street Address |
1427 LEE CLARKSON RD |
| City | CHICKAMAUGA |
| State | GA |
| Zip Code | 30707-3344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851463962 | Lookout Mountain Community Services | Community/Behavioral Health | 1427 Lee Clarkson Rd, Chickamauga, GA 30707-3344 | 2006-11-14 |
| 1689051229 | Ladonna Caprell Ingle | Licensed Practical Nurse | 1427 Lee Clarkson Rd, Chickamauga, GA 30707-3344 | 2015-05-04 |
| 1700143682 | Lookout Mountain Community Services | Community/Behavioral Health | 1427 Lee Clarkson Rd, Chickamauga, GA 30707-3344 | 2012-04-18 |
| 1528325404 | Lookout Mountain Community Services | Community/Behavioral Health | 1427 Lee Clarkson Rd, Chickamauga, GA 30707-3344 | 2012-04-18 |
| 1750648622 | Lookout Mountain Community Service | Community/Behavioral Health | 1427 Lee Clarkson Rd, Chickamauga, GA 30707-3344 | 2012-04-17 |
| 1942530696 | Lookout Mountain Community Service | Community/Behavioral Health | 1427 Lee Clarkson Rd, Chickamauga, GA 30707-3344 | 2009-12-31 |
| 1205166956 | Lookout Mountain Community Service | Community/Behavioral Health | 1427 Lee Clarkson Rd, Chickamauga, GA 30707-3344 | 2009-12-31 |
| 1568792216 | Lookout Mountain Community Service | Community/Behavioral Health | 1427 Lee Clarkson Rd, Chickamauga, GA 30707-3344 | 2009-12-31 |
| 1073843736 | Lookout Mountain Community Service | Community/Behavioral Health | 1427 Lee Clarkson Rd, Chickamauga, GA 30707-3344 | 2009-12-31 |
| 1881849735 | Lookout Mountain Community Services | Community/Behavioral Health | 1427 Lee Clarkson Rd, Chickamauga, GA 30707-3344 | 2008-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881677847 | Paul E Ballinger | Physician Assistant | 101 Kington Lane, Chickamauga, GA 30707 | 2005-11-23 |
| 1235358938 | Tawanda G Adeshina | Family Medicine | 101 Kington Lane, Chickamauga, GA 30707 | 2007-04-24 |
| 1053638874 | Jerry Labron Ragon | Contractor | 8 W 8th St, Chickamauga, GA 30707-1308 | 2010-05-04 |
| 1831261387 | Phillip David Talley | Pharmacist | 114 Cove Rd, Chickamauga, GA 30707-1407 | 2006-11-13 |
| 1760606966 | Karen Leanne Ledford | Pharmacist | 114 Cove Rd, Chickamauga, GA 30707-1407 | 2007-04-12 |
| 1821131996 | Chickamauga Drug Store, LLC | Pharmacy | 114 Cove Rd, Chickamauga, GA 30707-1407 | 2007-02-15 |
| 1073548707 | Douglas M Graydon | Dentist | 107 Gordon St, Chickamauga, GA 30707-1454 | 2006-07-11 |
| 1245372101 | Caroline Faith Brown | Dentist | 107 Gordon St, Chickamauga, GA 30707-1454 | 2007-02-13 |
| 1417483850 | Teresa Cash | Community/Behavioral Health | 16 Euclid Ave, Apt S-2, Chickamauga, GA 30707-1565 | 2017-05-04 |
| 1033416623 | Chickamauga City Schools | Local Education Agency (LEA) | 402 Cove Rd, Chickamauga, GA 30707-1614 | 2011-02-17 |
| Find all providers in zip 30707 | ||||
| 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 |
|---|---|---|---|---|
| 1629316864 | Lookout Mountain Community Service | Community/Behavioral Health | 73 Sherry Ct, Chickamauga, GA 30707-1887 | 2013-01-23 |
| 1912245150 | Lookout Mountain Community Services | Community/Behavioral Health | 377 Wildewood Trl, Chickamauga, GA 30707-3490 | 2013-01-23 |
| 1750529251 | Lookout Mountain Community Services | Community/Behavioral Health | 573 Southern Rd, Chickamauga, GA 30707-4215 | 2009-01-22 |
| 1750556411 | Lookout Mountain Community Services | Community/Behavioral Health | 987 Prospect Rd, Chickamauga, GA 30707-4231 | 2008-04-24 |
| 1215102975 | Lookout Mountain Community Services | Community/Behavioral Health | 3440 Garretts Chapel Rd, Chickamauga, GA 30707-3705 | 2008-04-24 |
| 1598939670 | Lookout Mountain Community Services | Community/Behavioral Health | 532 Southern Rd, Chickamauga, GA 30707-4215 | 2008-04-18 |
| 1528132750 | Lookout Mountain Community Services | Community/Behavioral Health | 107 Alex Dr, Chickamauga, GA 30707-4154 | 2006-11-20 |
| 1851463962 | Lookout Mountain Community Services | Community/Behavioral Health | 1427 Lee Clarkson Rd, Chickamauga, GA 30707-3344 | 2006-11-14 |
| 1194246140 | Rhonda Whitaker | Community/Behavioral Health | 73 Sherry Ct, Chickamauga, GA 30707-1887 | 2017-06-29 |
| 1417483850 | Teresa Cash | Community/Behavioral Health | 16 Euclid Ave, Apt S-2, Chickamauga, GA 30707-1565 | 2017-05-04 |
| Find all providers in CHICKAMAUGA | ||||
| City | CHICKAMAUGA |
| Zip Code | 30707 |
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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.