NPIMap

Organization Active NPI

Community Service Board of East Central Georgia

  • Community/Behavioral Health Agency
  • Grovetown, GA
National Provider Identifier
1023516002
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY SERVICE BOARD OF EAST CENTRAL GEORGIA
Practice address
355 Bobwhite TRL
Grovetown, GA 30813-5886
Phone
(706) 432-4837
NPI assigned
Jan 25, 2018
Last updated
Jan 25, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY SERVICE BOARD OF EAST CENTRAL GEORGIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Michele Prior
Title
Billing Manager
Phone
(706) 432-4837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

355 Bobwhite TRL
Grovetown, GA 30813-5886

Mailing address

3421 Mike Padgett Hwy
Augusta, GA 30906-3815

Other identifiers 1

IdentifierTypeStateIssuer
000605833YMedicaidGA

Other names 1

  • Jones Host Home Other name

National Provider Directory

National Provider Directory
Tax ID family
CSB of East Central Geo49 organizations share this tax ID, including this one
Part of
CSB of East Central Geo

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1023516002",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 BOBWHITE TRL",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308135886",
            "telephone_number": "706-432-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SERVICE BOARD OF EAST CENTRAL GEORGIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY SERVICE BOARD OF EAST CENTRAL GEORGIA",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "PRIOR",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "706-432-4837"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000605833Y",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jones Host Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grovetown, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.