NPIMap

Organization Active NPI

Oconee Community Service Board

  • Community/Behavioral Health Agency
  • Sandersville, GA
National Provider Identifier
1235325069
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OCONEE COMMUNITY SERVICE BOARD
Practice address
522 Washington Ave
Sandersville, GA 31082-1971
Phone
(478) 552-8304
NPI assigned
Sep 14, 2007
Last updated
Mar 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Jennifer B Gheesling
Title
Billing Manager
Phone
(478) 445-4971

Specialties & licenses 1

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

Addresses

Primary practice location

522 Washington Ave
Sandersville, GA 31082-1971

Mailing address

PO Box 1827
Milledgeville, GA 31059-1827
Phone (478) 445-4817

Other identifiers 2

IdentifierTypeStateIssuer
000604469BMedicaidGA
815933000OtherGAMAGELLAN MIS NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Oconee Center23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Locations

522 Washington Ave
Sandersville, GA 31082
Phone (478) 240-3050

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1235325069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1827",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310591827",
            "telephone_number": "478-445-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 WASHINGTON AVE",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821971",
            "telephone_number": "478-552-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONEE COMMUNITY SERVICE BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "GHEESLING",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "478-445-4971"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000604469B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN MIS NUMBER",
            "identifier": "815933000",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.