CSB of East Centeal Georgia

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

RN174288 Issued in GA

Legal business name

CSB OF EAST CENTEAL GEORGIA

Doing business as

Serenity Behavioral Health

Practice address

3421 Mike Padgett Hwy
Augusta, GA 30906-3815

Phone

(706) 432-7893

NPI assigned

Nov 3, 2011

Last updated

Nov 3, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Margaret Jones

Title

Billing Manager

Phone

(706) 432-7893

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Serenity Behavioral Health Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald Basil Chismar, NURSE PRACTIONER

  • Nurse Practitioner
  • Augusta, GA
  • NPI 1760759823
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1003193186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 MIKE PADGETT HWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309063815",
            "telephone_number": "706-432-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 MIKE PADGETT HWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309063815",
            "telephone_number": "706-432-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSB OF EAST CENTEAL GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "706-432-7893"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "RN174288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000606317B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John William Cruz, D.O.
• CS Health & Wellness of North Carolina, LLC
• CS Health & Wellness of Virginia, LLC
• CSB Community Mental Health Center of East Central Georgia (Serenity Behavioral Health Systems)
• CSB of East Cental Ga
• CSB of East Central Ga (Grace PCH)
• CSB of East Central Ga
• CSB of East Central Ga (Richmond DD/Tasc: Comp)
• CSB of East Central Ga (Richmond DD/Tasc Now)
• CSB of East Central Ga (Reese PCH)

• Community/Behavioral Health Agency in Augusta, GA
• Providers in Augusta, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.