NPIMap

Organization Active NPI

Project Rebound

  • Psychiatry Physician
  • Columbus, GA
National Provider Identifier
1205156932
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
062999 Issued in GA
Legal business name
PROJECT REBOUND
Practice address
2222 Francis St
Columbus, GA 31906-2512
Phone
(706) 221-4830
Fax
(706) 221-4830
NPI assigned
Jun 4, 2010
Last updated
Aug 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Authorized official

Name
Dr. Jihad HudNPI 1578723409
Title
Founder / Ceo
Phone
(706) 221-4830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 062999 GA Primary
Community/Behavioral Health Agency 251S00000X CSW003530 GA

Addresses

Primary practice location

2222 Francis St
Columbus, GA 31906-2512

Mailing address

2833 Mimosa St
Columbus, GA 31906-2163
Phone (706) 221-4830

National Provider Directory

National Provider Directory
Tax ID family
Project Rebound Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1205156932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 MIMOSA ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319062163",
            "telephone_number": "706-221-4830",
            "fax_number": "706-221-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 FRANCIS ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319062512",
            "telephone_number": "706-221-4830",
            "fax_number": "706-221-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT REBOUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "HUD",
        "authorized_official_first_name": "JIHAD",
        "authorized_official_title_or_position": "FOUNDER / CEO",
        "authorized_official_telephone_number": "706-221-4830",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "062999",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CSW003530",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.