BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA (NPI# 1912986282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912986282 |
| Entity Type | Organization |
| Organization Name | BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA |
| Other Organization Name | BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA |
| Practice Address |
3120 N Oak Street Ext Suite C Valdosta GA 31602-1007 |
| Mailing Address |
3120 N Oak Street Ext Ste C Valdosta GA 31602-5910 |
| Practice Telephone | 2296716100 |
| Mailing Telephone | 2296716100 |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2020-03-26 |
| Authorized Official Name | MR. WILLIAM F HULING (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2296716140 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities | ||
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000607032V | 05 | |
| GA | 000601246A | 05 | |
| GA | 000742475C | 05 | |
| GA | 000742475J | 05 | |
| GA | 000742475K | 05 | |
| GA | 000601246J | 05 | |
| GA | 000607032A | 05 | |
| GA | 000742475M | 05 |
| Other Name | Type Code |
|---|---|
| Behavioral Health Services of South Georgia | Doing Business As Name - Organization |
| Legacy Behavioral Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831671973 | Behavioral Health Services of South Georgia | Clinic/Center | 201 W Mcpherson Ave, Nashville, GA 31639-2131 | 2018-09-05 |
| 1528132321 | Behavioral Health Services of South Georgia | Community Based Residential Treatment Facility, Mental Illness | 1 Dellwood Cir, Valdosta, GA 31602-2335 | 2006-11-20 |
| 1083787287 | Behavioral Health Services of South Georgia | Clinic/Center | 507 Laurel St, Nashville, GA 31639-2555 | 2006-11-16 |
| 1255875910 | Behavioral Health Services of South Georgia | Community/Behavioral Health | 334 Tifton Eldorado Rd, Tifton, GA 31794-9497 | 2016-12-14 |
| 1083754535 | Behavioral Health Services of South Georgia | Clinic/Center | 3120 N Oak Street Ext Ste C, Valdosta, GA 31602-5910 | 2007-02-07 |
| 1639219181 | Behavioral Health Services of South Georgia | Clinic/Center | 3120 N Oak Street Ext Ste C, Valdosta, GA 31602-5910 | 2007-02-07 |
| 1881734333 | Behavioral Health Services of South Georgia | Clinic/Center | 3120 N Oak Street Ext, Valdosta, GA 31602-1007 | 2007-02-07 |
| 1801932371 | Behavioral Health Services of South Georgia | Clinic/Center | 3120 N Oak Street Ext, Suite C, Valdosta, GA 31602-1007 | 2007-01-30 |
| 1588739601 | Behavioral Health Services of South Georgia | Clinic/Center | 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910 | 2006-11-22 |
| 1396810412 | Behavioral Health Services of South Georgia | Clinic/Center | 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910 | 2006-11-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA | 3120 N Oak Street Ext Ste C, Valdosta, GA 31602-5910 |
| Street Address |
3120 N OAK STREET EXT SUITE C |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-1007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215473467 | Amy Parker | Counselor | 3120 N Oak Street Ext, Valdosta, GA 31602-5909 | 2017-01-12 |
| 1578007704 | Vinson Lee | Marriage & Family Therapist | 3120 N Oak Street Ext, Valdosta, GA 31602-5909 | 2016-12-07 |
| 1790229938 | Nancy Rachel Albritton | Social Worker | 3120 N Oak Street Ext, Valdosta, GA 31602-5909 | 2016-12-07 |
| 1972943389 | Georgia Pines Community Service Board | Community/Behavioral Health | 3120 N Oak Street Ext, Suite B, Valdosta, GA 31602-5909 | 2013-06-29 |
| 1124200415 | Sherry B Hurwitz | Counselor | 3120 N Oak Street Ext, Suite C, Valdosta, GA 31602-5909 | 2007-11-29 |
| 1740320290 | South Georgia Csb | Clinic/Center | 3120 N Oak Street Ext, Suite C, Valdosta, GA 31602-1007 | 2007-02-07 |
| 1881734333 | Behavioral Health Services of South Georgia | Clinic/Center | 3120 N Oak Street Ext, Valdosta, GA 31602-1007 | 2007-02-07 |
| 1801932371 | Behavioral Health Services of South Georgia | Clinic/Center | 3120 N Oak Street Ext, Suite C, Valdosta, GA 31602-1007 | 2007-01-30 |
| 1356430193 | Selina Joy Popovich-evans | Counselor | 3120 N Oak Street Ext, Suite C, Valdosta, GA 31602-1007 | 2006-10-12 |
| 1821185513 | Rhea L Kisling | Counselor | 3120 N Oak Street Ext, Suite E, Valdosta, GA 31602-1007 | 2006-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| 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 |
|---|---|---|---|---|
| 1518396548 | Behavioral Health Crisis Center | Clinic/Center | 3116 North Oak Street Ext, Valdosta, GA 31602-5910 | 2013-11-12 |
| 1407929730 | South Georgia Csb | Clinic/Center | 252 N Saint Augustine Rd, Valdosta, GA 31601-5274 | 2006-11-16 |
| 1568014736 | Lithos Counseling and Consulting, LLC | Clinic/Center | 1805 Green Cir, Valdosta, GA 31602-2734 | 2019-07-09 |
| 1497240543 | Blakely Harper Lcsw PC | Clinic/Center | 3350 Noble Way Ste B, Valdosta, GA 31605-7444 | 2018-06-29 |
| 1215113675 | Peaceway Counseling & Mediation Services Inc. | Clinic/Center | 2405 Bemiss Rd, Valdosta, GA 31602-1936 | 2008-01-16 |
| 1801932371 | Behavioral Health Services of South Georgia | Clinic/Center | 3120 N Oak Street Ext, Suite C, Valdosta, GA 31602-1007 | 2007-01-30 |
| 1588739601 | Behavioral Health Services of South Georgia | Clinic/Center | 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910 | 2006-11-22 |
| 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 |
| 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.