GEORGIA MOUNTAINS COMMUNITY SERVICES (NPI# 1639233471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639233471 |
| Entity Type | Organization |
| Organization Name | GEORGIA MOUNTAINS COMMUNITY SERVICES |
| Other Organization Name | AVITA COMMUNITY PARTNERS |
| Practice Address |
5700 Fernside Dr Toccoa GA 30577-8942 |
| Mailing Address |
4331 Thurmon Tanner Rd Flowery Branch GA 30542-2829 |
| Practice Telephone | 7068866521 |
| Practice Fax Number | 6785135836 |
| Mailing Telephone | 6785135733 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2010-06-18 |
| Authorized Official Name | KAREN R TUCKER (BILLING MANAGER) |
| Authorized Official Telephone | 6785135733 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000666553A | 05 |
| 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 |
5700 FERNSIDE DR |
| City | TOCCOA |
| State | GA |
| Zip Code | 30577-8942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750492781 | Georgia Mountains Community Services | Counselor | 5700 Fernside Dr, Toccoa, GA 30577-8942 | 2006-08-31 |
| 1245541192 | Georgia Mountains Community Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5700 Fernside Dr, Toccoa, GA 30577-8942 | 2010-06-25 |
| 1003970187 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 5700 Fernside Dr, Toccoa, GA 30577-8942 | 2006-12-21 |
| 1215091970 | Georgia Mountains Community Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5700 Fernside Dr, Toccoa, GA 30577-8942 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220513 | Jennifer Lynn Harper | Counselor | 46 Rice Lewis Gilliard Way, Toccoa, GA 30577 | 2020-06-19 |
| 1912528696 | Pittard Clinic LLC | Clinic/Center | 1654 Falls Rd, Toccoa, GA 30577 | 2020-05-04 |
| 1518313733 | Shellei Adams | Occupational Therapist | 23 Big A Rd, Toccoa, GA 30577 | 2016-05-06 |
| 1902212814 | Rebecca Coursey | Counselor | 1763 Fernside Dr., Avita Community Partners, Toccoa, GA 30577 | 2014-07-11 |
| 1427478742 | Cynthia Hemphill Wansley | Pharmacist | 3886 Georgia Highway 17, Toccoa, GA 30577 | 2014-04-25 |
| 1265850168 | Karen Kelley Colwell | Pharmacist | 3886 Hwy 17, Toccoa, GA 30577 | 2014-03-29 |
| 1972808160 | Cossar Chiropractic | Chiropractor | 2766 Ga Hwy 17, Toccoa, GA 30577 | 2011-01-19 |
| 1811216070 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 130 Haynes St, Toccoa, GA 30577 | 2010-05-26 |
| 1942435516 | Meadows Surgical Arts | Specialist | 203 Remsdale Rd, Toccoa, GA 30577 | 2009-05-26 |
| 1609011816 | Bryan Gerald Wood | Pharmacist | 102 N Sage Street, Stewart's Downtown Discount Drugs, Toccoa, GA 30577 | 2008-12-03 |
| Find all providers in zip 30577 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275890261 | Georgia Mountain Community Svs | Day Training, Developmentally Disabled Services | 1161 Old Carnes Creek Rd, Toccoa, GA 30577-7210 | 2012-04-16 |
| 1598021685 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 17 Ayersville Road, Toccoa, GA 30577-8541 | 2012-04-03 |
| 1699094821 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 662 Rosedale St, Toccoa, GA 30577-1824 | 2010-05-27 |
| 1790004927 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 3274 Black Mountain Rd, Toccoa, GA 30577-9431 | 2010-05-27 |
| 1811216070 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 130 Haynes St, Toccoa, GA 30577 | 2010-05-26 |
| 1053630707 | Georgia Mountains Communtiy Services | Day Training, Developmentally Disabled Services | 490 Addington Dr, Toccoa, GA 30577-6041 | 2010-05-20 |
| 1003970187 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 5700 Fernside Dr, Toccoa, GA 30577-8942 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482397 | A Better Life Together, Inc | Day Training, Developmentally Disabled Services | 3343 Woodshade Drive, Loganville, GA 30052 | 2020-09-18 |
| 1225643653 | Auesome Achiever LLC | Day Training, Developmentally Disabled Services | 601 Alcovy St, Monroe, GA 30655-2145 | 2020-09-11 |
| 1457962797 | Southeastern Support Care Services LLC | Day Training, Developmentally Disabled Services | 3523 Fuller St, Columbus, GA 31907-2554 | 2020-08-11 |
| 1548870363 | Heart Helping Hands, LLC | Day Training, Developmentally Disabled Services | 1919 Singer Way, Lithonia, GA 30058-5578 | 2020-08-06 |
| 1073121646 | Jo Anne Ragsdale | Day Training, Developmentally Disabled Services | 4916 Lake Park Ln, Acworth, GA 30101-6253 | 2020-07-20 |
| 1447877683 | Jeremy's Place Inc. | Day Training, Developmentally Disabled Services | 4910 Jonesboro Rd Ste 201, Union City, GA 30291-2087 | 2020-07-04 |
| 1457970626 | The J&r Group Ga I Nc. | Day Training, Developmentally Disabled Services | 1910 Wood Valley Rd, Macon, GA 31211-1619 | 2020-04-08 |
| 1497307425 | Bobby Dodd Institute | Day Training, Developmentally Disabled Services | 2120 Marietta Blvd Nw, Atlanta, GA 30318-2122 | 2019-07-10 |
| 1619537453 | Cherryl Miller | Day Training, Developmentally Disabled Services | 1499 Ravenel Rd, Conley, GA 30288-2226 | 2019-06-14 |
| 1821555913 | Community Service Board of Middle Georgia | Day Training, Developmentally Disabled Services | 1444 Morgan Creek Dr, Eastman, GA 31023 | 2019-02-25 |
| Find all providers with the same taxonomy | ||||
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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.