NPIMap

Organization Active NPI

James B. Craig Center

  • Mental Illness Intermediate Care Facility
  • Milledgeville, GA
National Provider Identifier
1346238276
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
License
1-005-1217 Issued in GA
Legal business name
JAMES B. CRAIG CENTER
Practice address
200 Allen Rd
Milledgeville, GA 31062-7523
Phone
(478) 445-5478
Fax
(478) 445-4251
NPI assigned
Oct 13, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. William K. Garland, NHA
Title
Administrator
Phone
(478) 445-5478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X 1-005-1217 GA Primary

Addresses

Primary practice location

200 Allen Rd
Milledgeville, GA 31062-7523

Mailing address

200 Allen Rd
Milledgeville, GA 31062-7523
Phone (478) 445-5478

Other identifiers 1

IdentifierTypeStateIssuer
11A556MedicaidGA

Other names 1

  • James B. Craig Nursing Center Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
NW Ga Regional Hospital74 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

200 Allen Rd
Milledgeville, GA 31062
Phone (478) 445-5478

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346238276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ALLEN RD",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310627523",
            "telephone_number": "478-445-5478",
            "fax_number": "478-445-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ALLEN RD",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310627523",
            "telephone_number": "478-445-5478",
            "fax_number": "478-445-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES B. CRAIG CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARLAND",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "478-445-5478",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "GA",
            "license": "1-005-1217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11A556",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James B. Craig Nursing Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.