Thomas Grady Service Center

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

THOMAS GRADY SERVICE CENTER

Practice address

106 Plantation Oak Dr
Thomasville, GA 31792-3500

Phone

(229) 225-4065

Fax

(229) 225-5027

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Marianne Ellis

Title

Director

Phone

(229) 225-4065

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194938696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PLANTATION OAK DR",
            "address_2": "PO BOX 2507",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317923500",
            "telephone_number": "229-225-4065",
            "fax_number": "229-225-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PLANTATION OAK DR",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317923500",
            "telephone_number": "229-225-4065",
            "fax_number": "229-225-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS GRADY SERVICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "229-225-4065",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00669413A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Vashti Center, Inc.
• Therapyplus Rehab Services, LLC
• Thomas County Board of Health
• Thomas County Commissioners of Roads & Revenues
• Thomas County School System
• Thomas University
• Geren Thomas, PHARMD
• James A Thomas Jr.
• Patricia B. Thomas, PHARMD
• Teresa Latrella Thomas, BA,PP

• All providers in Thomasville, GA
• Developmentally Disabled Services Day Training Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.