INTERVENTION AND PREVENTION SERVICES, INC. (NPI# 1780874008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780874008 |
| Entity Type | Organization |
| Organization Name | INTERVENTION AND PREVENTION SERVICES, INC. |
| Practice Address |
128 1st St E Suite # 226 Tifton GA 31794-4866 |
| Practice Telephone | 2293862100 |
| Practice Fax Number | 2293877900 |
| Mailing Telephone | 2293862100 |
| Mailing Fax Number | 2293877900 |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |
| Authorized Official Name | MRS. CAROLINE G DAY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2294022532 |
| 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) |
LPC003534 | GA | Ambulatory Health Care Facilities |
| Street Address |
128 1ST ST E SUITE # 226 |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-4866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234043 | Deloris Lunsford | Licensed Practical Nurse | 903 Washington St., Tifton, GA 31794 | 2020-01-17 |
| 1194383075 | William Jordan Kinnett | Registered Nurse | 1205 Tift Ave N, Tifton, GA 31794 | 2019-06-05 |
| 1598321200 | Courtlyn Christanna Fussell | Pharmacist | 2201 Hwy 41 N, Tifton, GA 31794 | 2019-05-17 |
| 1376027722 | Martha Gibbs | Nurse Practitioner | Affinity Clinic/west Campus, 2225 Us Hwy 41 North, Tifton, GA 31794 | 2018-09-21 |
| 1427541044 | Rebekah F Cottle | Speech-Language Pathologist | 2227 Highway 41 North, Tifton, GA 31794 | 2018-06-08 |
| 1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
| 1568975431 | Skyler Clark | Pharmacist | 2201 North 12th Street, Tifton, GA 31794 | 2017-11-14 |
| 1538606306 | Imagine Peace Counseling LLC | Counselor | 223 E 2nd Street, Suite B, Tifton, GA 31794 | 2017-01-31 |
| 1073056347 | Jessica Tumbling | Contractor | 219 Savannah Way, Tifton, GA 31794 | 2016-11-18 |
| 1992159503 | Joseph Thomas Seagraves Jr. | Nurse Practitioner | 901 East 18th Street, Tifton, GA 31794 | 2016-04-20 |
| Find all providers in zip 31794 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
| 1992241400 | Bhg Xlv, LLC | Clinic/Center | 2402 Tift Ave N, Suite 202, Tifton, GA 31794-1883 | 2017-01-09 |
| 1780758581 | Behavioral Health Services of South Georgia | Clinic/Center | 334 Tifton Eldorado Rd, Tifton, GA 31794-9497 | 2006-11-20 |
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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.