NPIMap

Organization Active NPI

Pathways Center for Behavioral and Developmental Growth

  • Community/Behavioral Health Agency
  • Lagrange, GA
National Provider Identifier
1073994182
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH
Practice address
102 Corporate Park Drive East
Lagrange, GA 30241
Phone
(706) 298-7800
Fax
(706) 298-7850
NPI assigned
Jun 15, 2015
Organization subpart
Yes
Parent organization
PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTHAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Tracy Hart
Title
Billing Manager
Phone
(706) 845-4045

Corporate family (same tax ID) 15

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

National Provider Directory

National Provider Directory
Tax ID family
Pathways Center CSB (16 organizations share this tax ID)
Part of
Pathways Center CSB

Locations

102 Corporate Park East Dr
Lagrange, GA 30241
Phone (706) 298-7800

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

102 Corporate Park Drive East
Lagrange, GA 30241

Mailing address

122 Gordon Commercial Dr Ste C
Lagrange, GA 30240-5754
Phone (706) 845-4045

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
000599332CHMedicaidGA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 15, 2015.

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1073994182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 GORDON COMMERCIAL DR STE C",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302405754",
            "telephone_number": "706-845-4045",
            "fax_number": "706-845-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CORPORATE PARK DRIVE EAST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "30241",
            "telephone_number": "706-298-7800",
            "fax_number": "706-298-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "706-845-4045"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000599332CH",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.