RE-DIRECT BEHAVIORAL YOUTH PROGRAM (NPI# 1558916726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558916726 |
| Entity Type | Organization |
| Organization Name | RE-DIRECT BEHAVIORAL YOUTH PROGRAM |
| Practice Address |
900 Mlk Jr Dr Dublin GA 31021-5063 |
| Mailing Address |
Po Box 16355 Dublin GA 31040-6355 |
| Practice Telephone | 4783041403 |
| Mailing Telephone | 4786975304 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-05 |
| Authorized Official Name | JOE NATHAN RICKS (CEO) |
| Authorized Official Telephone | 4786975304 |
| Authorized Official Credential | ETC. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
900 MLK JR DR |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-5063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962806075 | Laurens Case Management | Case Management | 1 Hester Dr, Dublin, GA 31021-3389 | 2014-10-17 |
| 1487961942 | Irie's Community Development Center, Inc | Case Management | 112 Mall Rd, Dublin, GA 31021-3035 | 2010-09-06 |
| 1770810533 | Carestar | Case Management | 6463 Cranston Way, Dublin, OH 43017-1665 | 2009-11-15 |
| 1427111905 | Taylor Made Manaagement Services, Inc. | Case Management | 116 Park Pl, Dublin, GA 31021-5322 | 2006-12-18 |
| 1164980009 | Bryan Michael Jellick | Case Management | 525 Metro Pl N, Dublin, OH 43017-5342 | 2019-03-11 |
| 1174983241 | Family Focus Health Services | Case Management | 122 E Jackson St, Dublin, GA 31040-2003 | 2016-03-02 |
| 1871968644 | Ripple Life Care Planning | Case Management | 565 Metro Pl S, Suite 300, Dublin, OH 43017-5351 | 2015-12-04 |
| 1104212828 | Carl Vinson Vamc | Case Management | 1826 Veteran Blvd, Dublin, GA 31021 | 2015-04-09 |
| 1871987115 | Healthspot Inc. | Case Management | 545 Metro Pl S, Suite 475, Dublin, OH 43017-5316 | 2015-03-25 |
| 1790939171 | Middle Georgia Behavioral Services | Case Management | 402 W Madison St, Dublin, GA 31021-5232 | 2008-11-11 |
| Find all providers in DUBLIN | ||||
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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.