NPIMap

Organization Active NPI

Georgia Mountain Community SVCS

Doing business as Avita Community Partners

  • Mental Health Counselor
  • Flowery Branch, GA
National Provider Identifier
1265702013
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GEORGIA MOUNTAIN COMMUNITY SVCS
Doing business as
Avita Community Partners
Practice address
4331 Thurmond Tanner Pkwy
Flowery Branch, GA 30542-2829
Phone
(678) 513-5700
Fax
(678) 513-5836
NPI assigned
Jan 11, 2012
Last updated
Jan 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Michelle Evie Miller
Title
Billing Specialist
Phone
(678) 513-5736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4331 Thurmond Tanner Pkwy
Flowery Branch, GA 30542-2829

Mailing address

129 North Main St
Cleveland, GA 30528-1123
Phone (706) 348-4060

Other names 1

  • AVITA COMMUNITY PARTNERS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Georgia Mountain Community SVS127 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

129 N Main St
Cleveland, GA 30528
Phone (706) 348-4060

Practitioners & affiliated clinicians

Practitioners 3

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": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1265702013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 NORTH MAIN ST",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305281123",
            "telephone_number": "706-348-4060",
            "fax_number": "706-348-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4331 THURMOND TANNER PKWY",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305422829",
            "telephone_number": "678-513-5700",
            "fax_number": "678-513-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA MOUNTAIN COMMUNITY SVCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "EVIE",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "678-513-5736"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVITA COMMUNITY PARTNERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flowery Branch, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.