NPIMap

Organization Active NPI

Behavioral Health Services of South Georgia

Doing business as Cook Outpatient Services

  • Community/Behavioral Health Agency
  • Adel, GA
National Provider Identifier
1083787394
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA
Doing business as
Cook Outpatient Services
Legacy Behavioral Health Services
Practice address
203 Industrial Park Dr
Adel, GA 31620-3446
Phone
(229) 896-4559
Fax
(229) 896-8367
NPI assigned
Nov 16, 2006
Last updated
Sep 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Authorized official

Name
Mrs. Jane B. Stephens, CPA
Title
Chief Financial Officer
Phone
(229) 671-6108

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

203 Industrial Park Dr
Adel, GA 31620-3446

Mailing address

3120 N Oak Street Ext Ste C
Valdosta, GA 31602-5910

Other identifiers 1

IdentifierTypeStateIssuer
000601246AMedicaidGA

Other names 2

  • Cook Outpatient Services Doing business as
  • Legacy Behavioral Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Behavioral Health Crisis Center29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1083787394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 N OAK STREET EXT STE C",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316025910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 INDUSTRIAL PARK DR",
            "city": "ADEL",
            "state": "GA",
            "postal_code": "316203446",
            "telephone_number": "229-896-4559",
            "fax_number": "229-896-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "229-671-6108",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000601246A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cook Outpatient Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Legacy Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Adel, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.