Organization Active NPI

Ceed Community Enrichment, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Griffin, GA
National Provider Identifier
1093562480
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CEED COMMUNITY ENRICHMENT, LLC
Practice address
415 E Poplar St Ste C
Griffin, GA 30224-3403
Phone
(678) 408-0109
NPI assigned
May 2, 2024
Last updated
Jul 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Authorized official

Name
Johntavious Jones, LCSWNPI 1487279097
Title
Ceo
Phone
(678) 408-0109

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

415 E Poplar St Ste C
Griffin, GA 30224-3403

Mailing address

415 E Poplar St Ste C
Griffin, GA 30224-3403
Phone (678) 408-0109

National Provider Directory

National Provider Directory

Locations

228 E Poplar St
Ste C
Griffin, GA 30224
Phone (678) 408-0109

415 E Poplar St
Ste C
Griffin, GA 30224

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1093562480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E POPLAR ST STE C",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302243403",
            "telephone_number": "678-408-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E POPLAR ST STE C",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302243403",
            "telephone_number": "678-408-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEED COMMUNITY ENRICHMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JOHNTAVIOUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-408-0109",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.