SOUTH GEORGIA CSB (NPI# 1730252479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730252479 |
| Entity Type | Organization |
| Organization Name | SOUTH GEORGIA CSB |
| Other Organization Name | LANIER DD SERVICES |
| Practice Address |
321 W Brantley Lakeland GA 31635 |
| Practice Telephone | 2294822820 |
| Practice Fax Number | 2294828012 |
| Mailing Telephone | 2294822820 |
| Mailing Fax Number | 2294828012 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2008-12-15 |
| Authorized Official Name | MRS. SUE GUPTON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2296716101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lanier DD Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053624585 | South Georgia Csb | Community Based Residential Treatment Facility, Mental Illness | 1209 N Toombs St, Valdosta, GA 31601-3931 | 2010-07-26 |
| 1386718187 | South Georgia Csb | Clinic/Center | 1644 E Park Ave, Valdosta, GA 31602-3413 | 2006-11-20 |
| 1871667675 | South Georgia Csb | Clinic/Center | 1108 S Patterson St, Valdosta, GA 31601-6348 | 2006-11-20 |
| 1942374343 | South Georgia Csb | Clinic/Center | 340 Tifton Eldorado Road, Tifton, GA 31794 | 2006-11-17 |
| 1942374350 | South Georgia Csb | Clinic/Center | 203 Industrial Park Drive, Adel, GA 31620 | 2006-11-17 |
| 1154494359 | South Georgia Csb | Clinic/Center | 1200 Roundtree St, Quitman, GA 31643-3712 | 2006-11-16 |
| 1356414569 | South Georgia Csb | Clinic/Center | 391 County Farm Rd, Ashburn, GA 31714-3413 | 2006-11-16 |
| 1578636817 | South Georgia Csb | Residential Treatment Facility, Emotionally Disturbed Children | 4401 Willow Wood Gate, Valdosta, GA 31602-6709 | 2006-11-16 |
| 1407929730 | South Georgia Csb | Clinic/Center | 252 N Saint Augustine Rd, Valdosta, GA 31601-5274 | 2006-11-16 |
| 1558457655 | South Georgia Csb | Community/Behavioral Health | 334 Tifton Eldorado Rd, Tifton, GA 31794-9497 | 2006-10-05 |
| Street Address |
321 W BRANTLEY |
| City | LAKELAND |
| State | GA |
| Zip Code | 31635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427128545 | Lanier County Board Sbs | Local Education Agency (LEA) | Hwy 221 South, Lakeland, GA 31635 | 2006-11-08 |
| 1073662805 | Deep South Ambulance Service, Inc | Ambulance | 37 Peachtree Street, Lakeland, GA 31635-0067 | 2007-01-10 |
| 1558318337 | Lanier Health Services, Inc | Nursing Facility/Intermediate Care Facility | 852 W Thigpen Ave, Lakeland, GA 31635-1006 | 2006-05-27 |
| 1093921629 | Lanier County Ambulance Service | Ambulance | 116 W Thigpen Ave, Lakeland, GA 31635-1006 | 2007-05-14 |
| 1649284001 | James A Harrell | Emergency Medicine | 852 W Thigpen Ave, Lakeland, GA 31635-1006 | 2006-07-28 |
| 1023060084 | Lanier Health Services, Inc. | Medicare Defined Swing Bed Unit | 116 W Thigpen Ave, Lakeland, GA 31635-1006 | 2006-05-17 |
| 1558775411 | Kristen Ley | Nurse Practitioner | 106 W Thigpen Ave, Lakeland, GA 31635-1011 | 2014-06-18 |
| 1194141549 | Hospital Authority of Valdosta and Lowndes County, Georgia | Nursing Facility/Intermediate Care Facility | 120 W Thigpen Ave, Lakeland, GA 31635-1011 | 2014-03-10 |
| 1144270711 | Lanier Health Services, Inc. | General Acute Care Hospital | 116 W Thigpen Ave, Lakeland, GA 31635-1011 | 2006-05-12 |
| 1083122709 | Ashley Exum | Nurse Practitioner | 106 W Thigpen Ave, Lakeland, GA 31635-1011 | 2018-01-16 |
| Find all providers in zip 31635 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366071995 | Better Quest Healthcare Agency | Clinic/Center | 8083 Darlington Cir, Lakeland, FL 33809-6841 | 2020-04-06 |
| 1033753876 | Sanergy Administrative and Home Care Services | Clinic/Center | 722 Saratoga Ave, Lakeland, FL 33815-1279 | 2019-11-05 |
| 1962044602 | Helping Everyone Spiritually LLC | Clinic/Center | 7225 Twin Cedar Ln, Lakeland, FL 33810-2183 | 2019-10-15 |
| 1831746593 | Bobbie Dashercare LLC | Clinic/Center | 4006 Golf Village Loop Apt 2, Lakeland, FL 33809-4056 | 2019-08-19 |
| 1316416381 | Shacoya Montgomery | Clinic/Center | 3909 Sandhill Crane Dr, Lakeland, FL 33811-1862 | 2018-11-19 |
| 1306323340 | Sandrene Smart | Clinic/Center | 625 Commerce Dr. (suite 103), Lakeland, FL 33813 | 2018-07-23 |
| 1629577382 | Dane Anthony Jones | Clinic/Center | 7833 Manor Dr, Lakeland, FL 33810-1380 | 2018-02-08 |
| 1235650029 | Lynn Tatyana Joseph | Clinic/Center | 921 E Parker St Ste 4, Lakeland, FL 33801-1901 | 2017-06-30 |
| 1376190025 | C&g's Grace Place LLC | Clinic/Center | 6763 Krenson Oaks Cir, Lakeland, FL 33810-2157 | 2019-08-19 |
| 1497229926 | Awesome Angels of Change LLC | Clinic/Center | 3909 Sandhill Crane Dr, Lakeland, FL 33811-1862 | 2019-01-17 |
| Find all providers in LAKELAND | ||||
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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.