Pathways Center for Behavioral and Developmental Growth
Organization Active NPI Community/Behavioral Health Agency · Barnesville, GA
NPI 1124183082 · NPPES record last updated Feb 26, 2013
Key facts
- NPI
- 1124183082
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH
- Practice address
- 101 Commerce Plaza
Suite 3
Barnesville, GA 30204-1680 - Phone
- (770) 358-5269
- Fax
- (770) 872-3730
- NPI assigned
- Dec 22, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH
Authorized official
- Name
- Jade Russell Benefield, MBA
- Title
- Executive Director
- Phone
- (706) 845-4045
Other NPIs on the same Medicare enrollment 9
Practitioners 33
-
Rugiatu Bahr, NP
-
Amy Braswell, LPC
-
Franchon Renee Carter, PA-C
-
Linda Joy Knight-Nelson, M.D.
-
Meribeth Pillot, LPC
-
Sarah Siddiqui, D.O.
-
Frederick L. Smith, LPC
-
Jennifer Thomas, APRN, PMHNP
-
Keisha McNeill, MS, LPC
-
Maria L Bejacmar-Didier, LCSW
-
Timothy Gunter, LPC
-
Lauren Hornsby, NP
-
Jithender Reddy, M.D.
-
Destina Shante Reid, PA-C
-
Allen Lavender Jr., D.O.
-
Emily Cesar, LMSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040430000883 | GA | Part B Supplier - Clinic/Group Practice | 5193712073 |
Receives reassigned benefits from 23 practitioners 9 other NPIs on this enrollment Practice locations: Carrollton, GA; Franklin, GA; Greenville, GA; Griffin, GA; Lagrange, GA; Newnan, GA |
National Provider Directory
- Part of
- Pathways Center CSB
Locations
101 Commerce Pl
Ste 3
Barnesville, GA 30204
Phone (770) 358-5269
527 Tanner St
Carrollton, GA 30117
Phone (678) 390-6575
244 Odell Rd
Ste 6
Griffin, GA 30224
Phone 7702293407 ext. 7115
120 Gordon Commercial Dr
Ste B
Lagrange, GA 30240
Phone (706) 812-1430
104 Corporate Park East Ct
Lagrange, GA 30241
Phone (706) 845-4054
8 Franklin Rd
Newnan, GA 30263
Phone (678) 423-4610
12 Savannah St
Newnan, GA 30263
Phone (770) 254-7230
74 Hospital Rd
Newnan, GA 30263
Phone (678) 854-2150
1009 3rd Ave
West Point, GA 31833
Phone (706) 643-4635
300 W 7th St
West Point, GA 31833
Phone (706) 645-1220
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
101 Commerce Plaza
Suite 3
Barnesville, GA 30204-1680
Mailing address
122 Gordon Commercial Drive
Suite C
Lagrange, GA 30240-5740
Phone (706) 845-4045
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000599332AJ | Medicaid | GA |
Other providers in Barnesville, GA
- Stanley Nnamdi Ogwotu
- Palmetto Health Council Inc
- Jyoti R Parikh
- Ray B. Paris
- Abigail Spaulding Parker
- Deana Perkins
- Gia-Marie Grace Perry
- Pinewoods
- Paige Rankine
- Tauheedah J Rasheed
All providers in Barnesville, GA · Community/Behavioral Health Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.