Organization Active NPI

Micah'S Promise, Inc.

  • Community/Behavioral Health Agency
  • Columbus, GA
National Provider Identifier
1104707546
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MICAH'S PROMISE, INC.
Practice address
3707 2ND Ave Ste 110
Columbus, GA 31904-6949
Phone
(706) 507-0825
NPI assigned
Sep 11, 2025
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
Bobbi Starr, MPA
Title
Executive Director
Phone
(706) 507-0825

Specialties & licenses 1

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

Addresses

Primary practice location

3707 2ND Ave Ste 110
Columbus, GA 31904-6949

Mailing address

3707 2ND Ave Ste 110
Columbus, GA 31904-6949
Phone (706) 507-0825

National Provider Directory

National Provider Directory

Locations

3707 2nd Ave
Ste 110
Columbus, GA 31904
Phone (706) 507-0825

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1104707546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 2ND AVE STE 110",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046949",
            "telephone_number": "706-507-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 2ND AVE STE 110",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046949",
            "telephone_number": "706-507-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICAH'S PROMISE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-11",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "STARR",
        "authorized_official_first_name": "BOBBI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "706-507-0825",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

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.