GEORGIA MOUNTAINS COMMUNITY SERVICES (NPI# 1619360849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619360849 |
| Entity Type | Organization |
| Organization Name | GEORGIA MOUNTAINS COMMUNITY SERVICES |
| Other Organization Name | AVITA COMMUNITY PARTNERS |
| Practice Address |
671 Lumpkin Campground Rd S Suite 100 Dawsonville GA 30534-0922 |
| Mailing Address |
4331 Thurmon Tanner Rd Flowery Branch GA 30542-2829 |
| Practice Telephone | 6785135700 |
| Mailing Telephone | 6785135700 |
| Mailing Fax Number | 6785135836 |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2016-03-08 |
| Authorized Official Name | MRS. CINDY LEVI (CEO) |
| Authorized Official Telephone | 6785135700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Avita Community Partners | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639699705 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 1901 Columns Dr Apt 1901, Gainesville, GA 30504-5954 | 2017-06-21 |
| 1295275873 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 1143 Racetrack Rd, Eastanollee, GA 30538-2928 | 2017-03-02 |
| 1366708448 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 117 Deerfield Lane, Royston, GA 30662-5074 | 2012-04-03 |
| 1598021685 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 17 Ayersville Road, Toccoa, GA 30577-8541 | 2012-04-03 |
| 1447516539 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 1040 Grove Park Lane, Cumming, GA 30577-6467 | 2012-04-03 |
| 1407154727 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 10 B Hughes St, Blairsville, GA 30512 | 2011-03-10 |
| 1093011983 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 3434 Old Oak Rdg, Gainesville, GA 30507-8571 | 2011-02-10 |
| 1770888737 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 4645 Turning Leaf Dr, Gillsville, GA 30543 | 2011-01-21 |
| 1255648432 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 1439 Eastonalee Road, Eastonalee, GA 30538 | 2010-09-09 |
| 1467766428 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 2912 Evergreen Hollow Drive, Gainesville, GA 30507 | 2010-08-02 |
| Street Address |
671 LUMPKIN CAMPGROUND RD S SUITE 100 |
| City | DAWSONVILLE |
| State | GA |
| Zip Code | 30534-0922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255337481 | John P. Fox | Dentist | 671 Lumpkin Campground Rd S, Ste 110, Dawsonville, GA 30534-0931 | 2005-06-22 |
| 1164929980 | Jesse Lewallen | Counselor | 671 Lumpkin Campground Rd S, Dawsonville, GA 30534-0922 | 2018-04-09 |
| 1255631818 | Creative Play Solutions, LLC | Counselor | 671 Lumpkin Campground Rd S, Suite 240, Dawsonville, GA 30534-0922 | 2010-10-29 |
| 1003053232 | Candace L. Wheeler | Counselor | 671 Lumpkin Campground Rd S, Suite 240, Dawsonville, GA 30534-0922 | 2009-01-09 |
| 1124212485 | John P. Fox Dds, PC | Dentist | 671 Lumpkin Campground Rd S, Suite 110, Dawsonville, GA 30534-0922 | 2007-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780175331 | Sharon Redd | Occupational Therapist | 923 Riverbend Rd, Dawsonville, GA 30534 | 2018-05-18 |
| 1588103808 | Hearing Aid Solutions LLC | Hearing Instrument Specialist | 169 Hwy 9, Suite 100, Dawsonville, GA 30534 | 2017-02-20 |
| 1881140598 | Meagan Wilson | Registered Nurse | 6002 Ga 53, Suite 100, Dawsonville, GA 30534 | 2016-09-01 |
| 1265892293 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 6002 Hwy 52 East, Suite 110, Dawsonville, GA 30534 | 2016-03-03 |
| 1174961304 | Meredith Michelle Tatum Hulsey | Physician Assistant | 1080 Lumpkin Campground Road S, Suite 300, Dawsonville, GA 30534 | 2013-06-10 |
| 1932467115 | David Kenneth Woolsey | Chiropractor | 1100 Old Dawson Village Rd, Suite 010, Dawsonville, GA 30534 | 2012-04-25 |
| 1275836769 | Martha Leslie Baker | Counselor | 121 Old Dawson Village Rd E, Building 800, Unit 010, Dawsonville, GA 30534 | 2010-12-06 |
| 1982914073 | James Paul Whitcomb | Pharmacist | 751 Highway 53 East Fred's #1451, Dawsonville, GA 30534 | 2010-10-07 |
| 1801123302 | Sj&j Spine and Pain Group | Pain Medicine | 5959 Highway 53 W, Suite 100b, Dawsonville, GA 30534 | 2009-11-04 |
| 1215260617 | Durall Capital Holdings, LLC | Clinic/Center | 35 Lumpkin Campground Road N, Dawsonville, GA 30534 | 2009-09-16 |
| Find all providers in zip 30534 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932443132 | Duane Isabel Wallace | Counselor | 151 Bent Ridge Dr S, Dawsonville, GA 30534-3337 | 2012-11-12 |
| 1114230372 | Joseph M Stapp | Counselor | 76 Sandcastle Ct, Dawsonville, GA 30534-7075 | 2010-07-16 |
| 1114150026 | Sandra Jean Dean | Counselor | 786 Riverbend Rd, Dawsonville, GA 30534-5530 | 2009-08-25 |
| 1083979793 | Anna Lauren Mullins | Counselor | 137 Prominence Ct, Dawsonville, GA 30534-8953 | 2012-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780859 | Jennifer Lynn Fedderick | Counselor | 459 Thrasher Rd, Plains, GA 31780-5310 | 2020-11-04 |
| 1376144766 | Arlicia Lagene Johnson | Counselor | 220 Osmanthus Way, Canton, GA 30114-7197 | 2020-11-03 |
| 1558962027 | Evan Kauper | Counselor | 2002 Smith Dr Nw, Kennesaw, GA 30144-1851 | 2020-11-02 |
| 1801496864 | Poonam A Patel | Counselor | 2916 Clairmont Rd Ne Apt 2413, Brookhaven, GA 30329-4476 | 2020-10-29 |
| 1740880061 | Pledger Behavior Consulting, LLC | Counselor | 7563 Highway 337, Summerville, GA 30747-6101 | 2020-10-27 |
| 1801495411 | Bianca Tiara Abrams | Counselor | 916 Glenwood Park Dr Se, Atlanta, GA 30316-6845 | 2020-10-23 |
| 1780283713 | Stacey Dougan | Counselor | 696 Mountain Dr Ne, Atlanta, GA 30342-3904 | 2020-10-21 |
| 1619576865 | Therapy Pond, LLC | Counselor | 1262 Concord Rd Se Ste 200, Smyrna, GA 30080-5307 | 2020-10-20 |
| 1164021259 | Miracles Outreach International | Counselor | 6825 Jimmy Carter Blvd Ste 1570b, Norcross, GA 30071-1215 | 2020-10-20 |
| 1699374025 | Alexxis Trimmings | Counselor | 205 W Montgomery Xrd Apt 106, Savannah, GA 31406-7121 | 2020-10-17 |
| Find all providers with the same taxonomy | ||||
| City | DAWSONVILLE |
| Zip Code | 30534 |
Please comment or provide details below to improve the information on GEORGIA MOUNTAINS COMMUNITY SERVICES.
| 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.