NPIMap

Organization Active NPI

Georgia Pines Community Service Board

  • Community/Behavioral Health Agency
  • Thomasville, GA
National Provider Identifier
1245739879
Registry record updated Feb 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GEORGIA PINES COMMUNITY SERVICE BOARD
Practice address
407 Cloverdale Drive
Thomasville, GA 31792
Phone
(229) 233-8904
NPI assigned
Feb 9, 2018
Last updated
Feb 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2018

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

Authorized official

Name
Jonas Norman
Title
Clerical Support
Phone
(229) 225-5031

Specialties & licenses 1

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

Addresses

Primary practice location

407 Cloverdale Drive
Thomasville, GA 31792

Mailing address

1102 Smith Ave Ste K
Thomasville, GA 31792-5740

Other identifiers 1

IdentifierTypeStateIssuer
000754795HMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Georgia Pines Community Service Board35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518134400000",
    "number": "1245739879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 SMITH AVE STE K",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 CLOVERDALE DRIVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "31792",
            "telephone_number": "229-233-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA PINES COMMUNITY SERVICE BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-02-09",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "JONAS",
        "authorized_official_title_or_position": "CLERICAL SUPPORT",
        "authorized_official_telephone_number": "229-225-5031"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000754795H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; 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.