MIDDLE FLINT COMMUNITY SERVICE BOARD (NPI# 1982872172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982872172 |
| Entity Type | Organization |
| Organization Name | MIDDLE FLINT COMMUNITY SERVICE BOARD |
| Other Organization Name | MIDDLE FLINT BEHAVIORAL HEALTHCARE AMHDT |
| Practice Address |
106 W 4th Ave Cordele GA 31015-3214 |
| Mailing Address |
415 N Jackson St P.o. Drawer 1348 Americus GA 31709-3015 |
| Practice Telephone | 2299312470 |
| Practice Fax Number | 2299312474 |
| Mailing Telephone | 2299312470 |
| Mailing Fax Number | 2299312474 |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-11 |
| Authorized Official Name | PAM DAVIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2299312470 |
| Is Organization Subpart | Y |
| Parent Organization Name | MIDDLE FLINT AREA COMMUNITY SERVICE BOARD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Middle Flint Behavioral HealthCare AMHDT | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891963518 | Middle Flint Community Service Board | Community/Behavioral Health | 100 Heads Ave, Americus, GA 31709-3616 | 2008-02-15 |
| 1346418068 | Middle Flint Community Service Board | Community/Behavioral Health | 144 Brannan Ave, Americus, GA 31709-4012 | 2008-02-15 |
| 1366610081 | Middle Flint Community Service Board | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 615 Jackson Ave, Americus, GA 31709-4172 | 2008-02-15 |
| 1447428164 | Middle Flint Community Service Board | Community/Behavioral Health | 696 Mcmath Mill Rd, Americus, GA 31719-8660 | 2008-02-15 |
| 1811165699 | Middle Flint Community Service Board | Community/Behavioral Health | 100 Macon St North, Oglethorpe, GA 31068 | 2008-02-14 |
| 1528236320 | Middle Flint Community Service Board | Community/Behavioral Health | 415 N. Jackson Street, Americus, GA 31709-3015 | 2008-02-14 |
| 1538337647 | Middle Flint Community Service Board | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 421 Elm Street, Americus, GA 31709-3704 | 2008-02-12 |
| 1053589176 | Middle Flint Community Service Board | Community/Behavioral Health | 1404 E Union St, Vienna, GA 31092-7530 | 2008-02-11 |
| 1427226547 | Middle Flint Community Service Board | Community/Behavioral Health | 1310 Southerfield Rd, Americus, GA 31719-8105 | 2008-02-11 |
| 1538337258 | Middle Flint Community Service Board | Community/Behavioral Health | 701 Jackson Ave, Americus, GA 31709-4174 | 2008-02-15 |
| Street Address |
106 W 4TH AVE |
| City | CORDELE |
| State | GA |
| Zip Code | 31015-3214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588982185 | Guido H. Ring, M.d, LLC | Internal Medicine | 106 W 4th Ave, Cordele, GA 31015-3214 | 2010-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618164 | Jeffrey Allen Wessel Jr. | Physical Therapist | 1107b Greer Street, Cordele, GA 31015 | 2020-08-03 |
| 1316502024 | Clifton Anthony Jordan | Specialist | 1106 East Ave Suite J, Cordele, GA 31015 | 2019-05-08 |
| 1336678440 | Robert Kenneth Lancaster | Dentist | 604 E 15th Avenue, Cordele, GA 31015 | 2017-06-12 |
| 1457602435 | Marvin Tolbert Mcafee IIi | Physician Assistant | 416 East 4th Ave, Suite B, Cordele, GA 31015 | 2012-10-01 |
| 1568719169 | Kimberly Bertelson | Physical Therapy Assistant | 1107 Greer Street, Suite B, Cordele, GA 31015 | 2012-08-14 |
| 1134474174 | R W Leitner Od LLC | Optometrist | 716-c 16th Ave East, Cordele, GA 31015 | 2012-07-16 |
| 1790048023 | Holly K Davis | Nurse Practitioner | 602 E 16th Ave Ste B, Cordele, GA 31015 | 2012-06-21 |
| 1508141482 | Beatrice Hurt Mckee | Nurse Practitioner | 216 Hospital Drive., Cordele, GA 31015 | 2011-10-11 |
| 1669784393 | Elisabeth R Waldrip | Dentist | 115 E 14th Avenue, Cordele, GA 31015 | 2010-07-10 |
| 1063656403 | Priscilla George Thomas | Surgery | 416 E 4th Ave # A, Cordele, GA 31015 | 2009-04-29 |
| Find all providers in zip 31015 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972771087 | Middle Flint Area Community Service Board | Community/Behavioral Health | 2501 13th Ave, Cordele, GA 31015-9122 | 2008-02-12 |
| 1700054426 | Middle Flint Community Service Board | Community/Behavioral Health | 1335 N 5th Street Ext, Suite B, Cordele, GA 31015-3753 | 2008-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376160 | Love, Breanna Olivia Zion Enterprise,llc(lboz): | Community/Behavioral Health | 9802 N Ivy Park Dr, Fortson, GA 31808-7130 | 2020-11-02 |
| 1578170882 | Helping Hearts Behavioral Health Services, LLC | Community/Behavioral Health | 504 Hamlet Dr, Hampton, GA 30228-4829 | 2020-09-30 |
| 1982219523 | Future Seekers, Inc. | Community/Behavioral Health | 3475 N. Desert Drive, Building 1, Suite 2100, East Point, GA 30344-3034 | 2020-09-10 |
| 1396359840 | Just Like Family Caregivers | Community/Behavioral Health | 2628 Lovejoy Crossing St, Hampton, GA 30228-5995 | 2020-09-02 |
| 1285247270 | Hudu Yoga & Therapy | Community/Behavioral Health | 3900 Springleaf Ct, Stone Mountain, GA 30083-4692 | 2020-08-28 |
| 1952914632 | Brighter Dayz, Incorporated | Community/Behavioral Health | 1016 Howell Mill Rd Nw Apt 4408, Atlanta, GA 30318-5592 | 2020-08-24 |
| 1699387688 | Rise Rehabilitation Services, LLC | Community/Behavioral Health | 738 Highland Park Trl, Atlanta, GA 30350-6706 | 2020-08-20 |
| 1104438373 | Pivotal Counseling LLC | Community/Behavioral Health | 75 N Broad St, Winder, GA 30680-1907 | 2020-08-19 |
| 1295347888 | Freemans Early Intervention Services | Community/Behavioral Health | 13 Peach St, Butler, GA 31006 | 2020-08-17 |
| 1861017634 | Trinity Care Counseling | Community/Behavioral Health | 3475 Northwinds Parkway, 200, Alpharetta, GA 30009 | 2020-06-08 |
| 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.