NPIMap

Organization Active NPI

Middle Flint Community Board

  • Community/Behavioral Health Agency
  • Americus, GA
National Provider Identifier
1124296249
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MIDDLE FLINT COMMUNITY BOARD
Practice address
100 Heads Ave
Americus, GA 31709-3616
Phone
(229) 931-2470
Fax
(229) 931-2474
NPI assigned
Feb 11, 2008
Last updated
Jan 29, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MIDDLE FLINT AREA COMMUNITY SERVICE BOARDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Margaret Jordan
Title
Utilization Manager
Phone
(229) 815-5286

Specialties & licenses 1

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

Addresses

Primary practice location

100 Heads Ave
Americus, GA 31709-3616

Mailing address

415 N Jackson St
P.O. Drawer 1348
Americus, GA 31709-3015
Phone (229) 931-2470

Other identifiers 1

IdentifierTypeStateIssuer
000603237FMedicaidGA

Other names 2

  • Breezeway Other name
  • Middle Flint Behavioral HealthCare AMHDT Other name

National Provider Directory

National Provider Directory
Tax ID family
Middle Flint Behavior H24 organizations share this tax ID, including this one
Part of
Middle Flint Behavior H

Other organizations with this tax ID 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1124296249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N JACKSON ST",
            "address_2": "P.O. DRAWER 1348",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093015",
            "telephone_number": "229-931-2470",
            "fax_number": "229-931-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HEADS AVE",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093616",
            "telephone_number": "229-931-2470",
            "fax_number": "229-931-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE FLINT COMMUNITY BOARD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDDLE FLINT AREA COMMUNITY SERVICE BOARD",
        "enumeration_date": "2008-02-11",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "UTILIZATION MANAGER",
        "authorized_official_telephone_number": "229-815-5286"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000603237F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breezeway",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Middle Flint Behavioral HealthCare AMHDT",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Middle Flint Behavioral HealthCare AMHDT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Americus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.