Seajoy Family Service Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SEAJOY FAMILY SERVICE CENTER

Practice address

3540 Wheeler Rd
Suite 508
Augusta, GA 30909-1871

Phone

(706) 733-4515

Fax

(706) 733-4517

NPI assigned

Oct 6, 2014

Organization subpart

Yes

Parent organization

SEAJOY FAMILY SERVICE CENTERAs reported in NPPES

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

Authorized official

Name

Erica Watford

Title

Ceo

Phone

(404) 974-4820

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Sea Joy Family Service2 organizations share this tax ID, including this one

Part of

Sea Joy Family Service

Other organizations with this tax ID 1

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

• Sea Joy Family Service

  • Community/Behavioral Health Agency
  • Decatur, GA
  • NPI 1376879577
  NPD tax ID

Locations

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1194128017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 WHEELER RD",
            "address_2": "SUITE 508",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091871",
            "telephone_number": "706-733-4515",
            "fax_number": "706-733-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 WHEELER RD",
            "address_2": "SUITE 508",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091871",
            "telephone_number": "706-733-4515",
            "fax_number": "706-733-4517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAJOY FAMILY SERVICE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEAJOY FAMILY SERVICE CENTER",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "WATFORD",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-974-4820"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003146054A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lantisha Scott
• Mary Ann Scraper, PA
• Lynn Caffee Scrivner, MFT
• Timothy Scully Jr., DO
• Ralph Brooks Scurry Jr., M.D.
• Julie E Sears, PA-C
• Seas Surgery Center
• Labrittney Sease
• Second to Nature Women'S Boutique, Inc.
• Secure Care Augusta LLC

• Community/Behavioral Health Agency in Augusta, GA
• Providers in Augusta, 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 Oct 6, 2014; 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.