NPIMap

Organization Active NPI

Pathways Center for Behavioral & Developmental Growth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Carrollton, GA
National Provider Identifier
1306908330
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
PATHWAYS CENTER FOR BEHAVIORAL & DEVELOPMENTAL GROWTH
Practice address
403 Northlake Dr
Carrollton, GA 30117-1883
Phone
(770) 836-0472
Fax
(770) 830-2266
NPI assigned
Dec 15, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
PATHWAYS CENTER FOR BEHAVIORAL & DEVELOPMENTAL GROWTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mrs. Joan K Turner, RN
Title
Executive Director
Phone
(706) 845-4045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

403 Northlake Dr
Carrollton, GA 30117-1883

Mailing address

122 Gordon Commercial Dr # D
Lagrange, GA 30240-5740
Phone (706) 845-4045

Other names 1

  • Carroll IGR Other name

National Provider Directory

National Provider Directory
Tax ID family
Chatt-Flint MH Mr Sa Co16 organizations share this tax ID, including this one
Part of
Chatt-Flint MH Mr Sa Co

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1306908330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 GORDON COMMERCIAL DR # D",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302405740",
            "telephone_number": "706-845-4045",
            "fax_number": "706-845-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 NORTHLAKE DR",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301171883",
            "telephone_number": "770-836-0472",
            "fax_number": "770-830-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS CENTER FOR BEHAVIORAL & DEVELOPMENTAL GROWTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATHWAYS CENTER FOR BEHAVIORAL & DEVELOPMENTAL GROWTH",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "706-845-4045",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carroll IGR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.