Provision Dui Treatment

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

101YA0400X Issued in GA

Legal business name

PROVISION DUI TREATMENT

Practice address

230 S Jackson St
Albany, GA 31701-2885

Phone

(229) 449-2575

NPI assigned

Nov 20, 2015

Last updated

Nov 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David BerryNPI 1265805212

Title

Ceo

Phone

(229) 449-2575

Specialties & licenses 1

Addresses

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.

• David Lee Berry Jr., CACII

  • Addiction (Substance Use Disorder) Counselor
  • Albany, GA
  • NPI 1265805212
  Authorized official Same address or phone

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1174997688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S JACKSON ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012885",
            "telephone_number": "229-449-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S JACKSON ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012885",
            "telephone_number": "229-449-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVISION DUI TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "229-449-2575"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "101YA0400X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primus Twinflower Road
• Bobby D Prince, M.D.
• Privia Medical Group South Georgia, LLC
• Promiseland Home Care Agency LLC
• Prosperity and Purpose Counseling and Consulting, LLC
• Michael William Pruitt, D.O
• Pruitthealth - Palmyra, LLC (PruittHealth - Palmyra)
• Pruitthealth Home First, Inc. (Pruitthealth Home First - Albany)
• Pruitthealth Home Health - South Atlanta, Inc. (PruittHealth @ Home - Albany)
• Pruitthealth Home Health South Georgia, Inc (PruittHealth @ Home - Albany)

• Community/Behavioral Health Agency in Albany, GA
• Providers in Albany, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.