Organization Active NPI

Marshall Jackson Mental Retardation Authority, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Guntersville, AL
National Provider Identifier
1083717730
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
MARSHALL JACKSON MENTAL RETARDATION AUTHORITY, INC.
Practice address
2024 Gunter Ave
Guntersville, AL 35976-2113
Phone
(256) 582-7528
Fax
(256) 582-7311
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. James S Dobbs
Title
Executive Director
Phone
(256) 582-7528

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

2024 Gunter Ave
Guntersville, AL 35976-2113

Mailing address

2024 Gunter Ave
Guntersville, AL 35976-2113
Phone (256) 582-7528

National Provider Directory

National Provider Directory
Tax ID family
Marshall Jackson Mental Retardation Authority Inc5 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

2024 Gunter Ave
Guntersville, AL 35976
Phone (256) 293-5181

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1083717730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 GUNTER AVE",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359762113",
            "telephone_number": "256-582-7528",
            "fax_number": "256-582-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 GUNTER AVE",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359762113",
            "telephone_number": "256-582-7528",
            "fax_number": "256-582-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL JACKSON MENTAL RETARDATION AUTHORITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DOBBS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "256-582-7528",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guntersville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.