DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES


Address: 325 Lawrence Rd, Central State Hospital, Milledgeville, GA 31062-7525
Phone: 4784454041

DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES (NPI# 1861505430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861505430
Entity Type Organization
Organization Name DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES
Other Organization Name CENTRAL STATE HOSPITAL PHARMACY
Practice Address 325 Lawrence Rd
Central State Hospital
Milledgeville
GA 31062-7525
Practice Telephone 4784454041
Enumeration Date 2006-08-16
Last Update Date 2011-09-15
Authorized Official Name DR. LARRY LATHAM (REGIONAL HOSPITAL ADMINISTRATOR)
Authorized Official Telephone 4784454128
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336I0012X Pharmacy
Specialization: Institutional Pharmacy
PHH006409 GA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
GA 00355704A 05

Other Provider/Organization Names

Other Name Type Code
Central State Hospital Pharmacy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1356351217 Department of Behavioral Health and Developmental Disabilities Clinic/Center 6126 Arnold Dr, Columbus, GA 31907-1904 2006-08-09
1558371492 Department of Behavioral Health and Developmental Disabilities Clinic/Center 4916 Lapaloma Dr, Columbus, GA 31907-2741 2006-08-09
1093046005 Department of Behavioral Health and Developmental Disabilities Psychiatric Hospital 3405 Mike Padgett Hwy, Augusta, GA 30906-3815 2010-01-15
1992036909 Department of Behavioral Health and Developmental Disabilities Pharmacy 100 Myrtle Blvd, Gracewood, GA 30812-1500 2010-01-15
1699000703 Department of Behavioral Health and Developmental Disabilities Intermediate Care Facility, Mentally Retarded 100 Myrtle Blvd, Gracewood, GA 30812-1500 2009-10-07
1053646166 Department of Behavioral Health and Developmental Disabilities Skilled Nursing Facility 100 Myrtle Blvd, Gracewood, GA 30812-1500 2009-10-07
1124254941 Department of Behavioral Health and Developmental Disabilities Psychiatric Hospital 3073 Panthersville Rd, Decatur, GA 30034-3828 2009-06-08
1033345079 Department of Behavioral Health and Developmental Disabilities Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 6126 Arnold Dr, Columbus, GA 31907-1904 2009-06-04
1053547067 Department of Behavioral Health and Developmental Disabilities Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4916 Lapaloma Dr, Columbus, GA 31907-2741 2009-06-04
1760617229 Department of Behavioral Health and Developmental Disabilities Psychiatric Hospital 705 N Division St Nw, Rome, GA 30165-1454 2009-05-27

Office Location

Street Address 325 LAWRENCE RD
CENTRAL STATE HOSPITAL
City MILLEDGEVILLE
State GA
Zip Code 31062-7525

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679758429 Mary Decruise Psychologist 2450 Vinson Hwy, Milledgeville, GA 31062 2007-12-28
1922668169 Lufti I Yargic Psychiatry & Neurology Csh - Cook Building 2450 Vinson Highway, Milledgeville, GA 31062-0001 2019-06-19
1770047276 Ekrem Dogan Internal Medicine 2450 Vinson Highway Cook Building, Milledgeville, GA 31062-0001 2019-01-29
1144703497 Tara Walker Nurse Practitioner Central State Hospital 2450 Vinson Hwy, Milledgeville, GA 31062-0001 2018-09-12
1356586259 Georgia Department of Human Resources Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1631 Valley Cir, Milledgeville, GA 31062-0001 2008-12-05
1841487667 Georgia Department of Human Resources General Acute Care Hospital 2400 Vinson Hwy, Milledgeville, GA 31062-0001 2007-09-25
1659369866 Clinton Wade Hodges Pharmacist Csh Pharmaceutical Services, Lawrence Rd., Milledgeville, GA 31062-0001 2005-10-11
1922621184 Uzma Beg Psychiatry & Neurology 2450 Vinson Highway Cook Building, Milledgeville, GA 31062-0001 2020-05-22
1114010485 Jeffrey D'neil Harris Psychologist 2450 Vinson Highway, Milledgeville, GA 31062-1622 2006-10-01
1235527144 Loukisha Monique Roberts Registered Nurse 2450 Vinson Highway, Milledgeville, GA 31062-5641 2014-12-30
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Taxonomy Information

Taxonomy Code 3336I0012X
Grouping Suppliers
Classification Pharmacy
Specialization Institutional Pharmacy

Taxonomy Definition

A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932690922 Middle Georgia Correctional Complex Pharmacy Pharmacy 2271 Vinson Hwy Se, Milledgeville, GA 31061-4807 2018-05-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316438393 Macon State Prison Regional Pharmacy Pharmacy 2728 Ga Highway 49 S, Oglethorpe, GA 31068-8129 2018-05-24
1851882013 Lee Arrendale State Prison Pharmacy Pharmacy 2023a Gainesville Hwy, Alto, GA 30510-4435 2018-05-23
1831689728 Autry State Prison Pharmacy Pharmacy 3178 Mount Zion Church Rd, Pelham, GA 31779 2018-05-16
1003939794 Nw Ga Regional Hospital Pharmacy 705 N Division St Nw, Rome, GA 30165-1454 2007-04-09
1689165482 Georgia Diagnostic & Classification Prison Pharmacy Pharmacy 2978 Highway 36 W, Jackson, GA 30233-6150 2018-05-29
1902397995 Pulaski State Prison Regional Pharmacy Pharmacy 373 Upper River Rd, Hawkinsville, GA 31036-8898 2018-05-24
1184115321 Georgia State Prison Regional Pharmacy Pharmacy 300 1st Ave S, Reidsville, GA 30453-9304 2018-05-23
1972094134 Valdosta State Prison Regional Pharmacy Pharmacy 3259 Val Tech Rd, Valdosta, GA 31602-9309 2018-05-23
1902397151 Augusta State Medical Prison Pharmacy 3001 Gordon Hwy, Grovetown, GA 30813-3808 2018-05-23
1417183781 Phoebe Sumter Medical Center Inc Pharmacy 126 Hwy 280, Americus, GA 31719-8645 2009-06-01
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Competitor

Search similar providers

City MILLEDGEVILLE
Zip Code 31062

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Dataset Information

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.

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