Methodist Home of the South Georgia Conference, Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

METHODIST HOME OF THE SOUTH GEORGIA CONFERENCE, INC.

Practice address

304 Pierce Avenue
Macon, GA 31204

Phone

(478) 464-3025

Fax

(478) 742-3405

NPI assigned

May 27, 2008

Organization subpart

No

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

Authorized official

Name

Sandra Gardner, LMFT

Title

Clinical Director

Phone

(478) 464-3025

Specialties & licenses 1

Addresses

Tax ID family

Methodist Home for Children and Youth3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Methodist Home of the South Ga Conference

  • Community/Behavioral Health Agency
  • Macon, GA
  • NPI 1568524882
  NPD tax ID
• Methodist Home of the South Georgia Conference

  • Community/Behavioral Health Agency
  • Macon, GA
  • NPI 1497132914
  NPD tax ID

Locations

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1255599346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 PIERCE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042422",
            "telephone_number": "478-464-3025",
            "fax_number": "478-742-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 PIERCE AVENUE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31204",
            "telephone_number": "478-464-3025",
            "fax_number": "478-742-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST HOME OF THE SOUTH GEORGIA CONFERENCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "478-464-3025",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Jennifer Meschler, M.D.
• Kimberly Mesumbe, PHARMD
• Metabolic Health of Lawrenceville
• Methodist Home of the South Ga Conference
• Methodist Home of the South Georgia Conference
• Mary Rachel Metzger
• Meyer Cardiology, PC
• Andrea Selaine Meyer Stinson, PH.D., LMFT
• Thomas P Meyer, MD
• Stephen Richard Meyers

• Voluntary or Charitable Agency in Macon, GA
• Providers in Macon, GA by specialty
• Voluntary or Charitable Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.