COMMUNITY SERVICE BOARD OF MIDDLE GEORGIA (NPI# 1689657637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689657637 |
| Entity Type | Organization |
| Organization Name | COMMUNITY SERVICE BOARD OF MIDDLE GEORGIA |
| Other Organization Name | COMMUNITY MENTAL HEALTH CENTER OF MIDDLE GEORGIA |
| Practice Address |
2121a Bellevue Rd Dublin GA 31021-2998 |
| Practice Telephone | 4782721190 |
| Practice Fax Number | 4782747628 |
| Mailing Telephone | 4782721190 |
| Mailing Fax Number | 4782747628 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2016-01-12 |
| Authorized Official Name | MR. KEITH MORAN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4782721190 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
007-R-0003 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000606284H | 05 | |
| GA | 300030912A | 05 |
| Other Name | Type Code |
|---|---|
| Community Mental Health Center of Middle Georgia | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821555913 | Community Service Board of Middle Georgia | Day Training, Developmentally Disabled Services | 1444 Morgan Creek Dr, Eastman, GA 31023 | 2019-02-25 |
| 1205357522 | Community Service Board of Middle Georgia | Community/Behavioral Health | 762 Old Millen Hwy, Waynesboro, GA 30830-8808 | 2017-06-28 |
| 1073647905 | Community Service Board of Middle Georgia | Community/Behavioral Health | 600 N Jefferson St, Dublin, GA 31021-6302 | 2007-03-15 |
| 1982738811 | Community Service Board of Middle Georgia | Community/Behavioral Health | 2121a Bellevue Rd Bldg 9, Dublin, GA 31021-2998 | 2007-03-15 |
| 1912030008 | Community Service Board of Middle Georgia | Community/Behavioral Health | 410 Lakeside Drive, Mcrae, GA 31055 | 2007-03-14 |
| 1689707150 | Community Service Board of Middle Georgia | Community/Behavioral Health | 417 Louisiana Ave E, Soperton, GA 30457-1126 | 2007-03-14 |
| 1578696928 | Community Service Board of Middle Georgia | Community/Behavioral Health | 2121a Bellevue Rd Bldg 7, Dublin, GA 31021-2998 | 2007-03-14 |
| 1164555744 | Community Service Board of Middle Georgia | Community/Behavioral Health | 621 Plaza Ave, Eastman, GA 31023-6753 | 2007-03-13 |
| 1144741364 | Community Service Board of Middle Georgia | Community/Behavioral Health | 109 Cherry St, Sylvania, GA 30467-6405 | 2017-06-28 |
| 1134640451 | Community Service Board of Middle Georgia | Clinic/Center | 207 N Anderson Dr, Swainsboro, GA 30401-4440 | 2017-06-28 |
| Street Address |
2121A BELLEVUE RD |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-2998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043203839 | Sandra L Souza | Family Medicine | 2121a Bellevue Rd, Dublin, GA 31021-2998 | 2005-08-26 |
| 1194339119 | Elizabeth Sheridan Pittman | Registered Nurse | 2121a Bellevue Rd, Dublin, GA 31021-2998 | 2020-09-08 |
| 1154885580 | Amy T Solen | Behavioral Analyst | 2121a Bellevue Rd, Dublin, GA 31021-2998 | 2019-01-30 |
| 1912417437 | Kristi Leigh Stinson | Marriage & Family Therapist | 2121a Bellevue Rd, Dublin, GA 31021-2998 | 2017-10-11 |
| 1972042265 | Coretta Green | Counselor | 2121a Bellevue Rd, Dublin, GA 31021-2998 | 2017-02-20 |
| 1174973234 | Jessica Saunders Land | Counselor | 2121a Bellevue Rd, Dublin, GA 31021-2998 | 2016-06-20 |
| 1568812386 | Hope Leeann Fowler | Counselor | 2121a Bellevue Rd, Dublin, GA 31021-2998 | 2016-06-13 |
| 1740677541 | Ashton Smith | Licensed Practical Nurse | 2121a Bellevue Rd, Dublin, GA 31021-2998 | 2015-04-20 |
| 1639566433 | Kizzy Oliver | Registered Nurse | 2121a Bellevue Rd, Dublin, GA 31021-2998 | 2015-04-20 |
| 1841699154 | Bridget Rose Connell | Counselor | 2121a Bellevue Rd, Dublin, GA 31021-2998 | 2014-08-22 |
| Find all providers in the same location | ||||
| 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 | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902405 | Cunningham Counseling and Consultation, LLC | Clinic/Center | 5986 Abbey Church Rd, Dublin, OH 43017-2541 | 2020-11-02 |
| 1376058982 | Cosan Counseling, LLC | Clinic/Center | 6063 Frantz Rd Ste 204, Dublin, OH 43017-3370 | 2017-12-05 |
| 1669800108 | Portia Bell Hume Behavorial Health and Training Center | Clinic/Center | 3601 Kohnen Way, Dublin, CA 94568-8751 | 2013-10-18 |
| 1770898207 | Portia Bell Hume Behavioral Health and Training Center | Clinic/Center | 6901 York Dr, Dublin, CA 94568-2153 | 2010-08-09 |
| 1801019500 | Solutions Counseling LLC | Clinic/Center | 6077 Frantz Road, Suite 101, Dublin, OH 43017 | 2007-04-11 |
| 1801372735 | Viaquest Psychiatric & Behavioral Solutions LLC | Clinic/Center | 525 Metro Pl N Ste 100, Dublin, OH 43017-5343 | 2018-07-13 |
| 1255835666 | Integrative Health Network LLC | Clinic/Center | 7243 Sawmill Rd Ste 105, Dublin, OH 43016-5005 | 2018-03-20 |
| 1992134092 | Portia Bell Hume Behavioral Health and Trianing Center | Clinic/Center | 8151 Village Pkwy, Dublin, CA 94568-1656 | 2013-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596646 | Bhg Lxvi, LLC | Clinic/Center | 1021 Alabama Avenue, Bremen, GA 30110 | 2020-10-22 |
| 1801495213 | New Orleans Caring Hands LLC | Clinic/Center | 4696 Balley Shannon Dr Se, Mableton, GA 30126-1763 | 2020-10-19 |
| 1205434594 | Sunflower Counseling Center | Clinic/Center | 950 Eagles Landing Pkwy Ste 202, Stockbridge, GA 30281-7343 | 2020-10-09 |
| 1124632013 | Dunwoody Mental Health Center | Clinic/Center | 4594 Barclay Dr, Atlanta, GA 30338-5883 | 2020-09-08 |
| 1093327488 | Elevate Behavioral Health | Clinic/Center | 304 Cumberland Way Se, Smyrna, GA 30080-7766 | 2020-08-18 |
| 1346851292 | Solacium Holding LLC | Clinic/Center | 960 N Point Pkwy Ste 450, Alpharetta, GA 30005-2034 | 2020-08-13 |
| 1962012153 | Janel Falvey LLC | Clinic/Center | 340 Eisenhower Dr Bldg 300, Savannah, GA 31406-1600 | 2020-08-03 |
| 1386252948 | Endpoints LLC | Clinic/Center | 3036 General Lee Rd, Macon, GA 31204-1518 | 2020-07-20 |
| 1790393684 | Reclaimu Healthcare Services, LLC | Clinic/Center | 2037 Ema Dell Pl, Loganville, GA 30052-5375 | 2020-07-16 |
| 1972120970 | Imagine New Beginnings | Clinic/Center | 3125 Colonial Way Apt J, Atlanta, GA 30341-5339 | 2020-06-25 |
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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.