NPIMap

Organization Active NPI

Pineland CSB

  • Substance Abuse Rehabilitation Facility
  • Statesboro, GA
National Provider Identifier
1053570762
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
LPN031106 Issued in GA
Legal business name
PINELAND CSB
Practice address
5 W Altman St
Statesboro, GA 30458-5212
Phone
(912) 764-9015
NPI assigned
Jun 6, 2008
Last updated
Jun 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Debra Scott
Title
Billing
Phone
(912) 764-6906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X LPN031106 GA Primary

Addresses

Primary practice location

5 W Altman St
Statesboro, GA 30458-5212

Mailing address

5 W Altman St
Statesboro, GA 30458-5212

National Provider Directory

National Provider Directory
Tax ID family
Pineland CSB5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

5 W Altman St
Statesboro, GA 30458
Phone (912) 764-6906

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1053570762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 W ALTMAN ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W ALTMAN ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585212",
            "telephone_number": "912-764-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINELAND CSB",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "912-764-6906"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "GA",
            "license": "LPN031106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.