NPIMap

Organization Active NPI

Southern Bridge Inc

  • Community/Behavioral Health Agency
  • Warner Robins, GA
National Provider Identifier
1386097848
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOUTHERN BRIDGE INC
Practice address
404 Corder Rd Ste 300
Warner Robins, GA 31088-7195
Phone
(478) 283-8322
Fax
(877) 712-4794
NPI assigned
Jul 20, 2016
Last updated
Sep 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Authorized official

Name
Neva Danielle Knight Fox, LMFTNPI 1780041822
Title
Owner
Phone
(478) 283-8322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

404 Corder Rd Ste 300
Warner Robins, GA 31088-7195

Mailing address

404 Corder Rd Ste 300
Warner Robins, GA 31088-7195
Phone (478) 449-1475

Other practice location 1

201 Club Villa Ct Ste 300
Kathleen, GA 31047-5496
Phone (478) 224-0176

Other identifiers 4

IdentifierTypeStateIssuer
003222274AMedicaidGA
003174143AMedicaidGA
003220322AMedicaidGA
003209756AMedicaidGA

National Provider Directory

National Provider Directory

Locations

201 Club Villa Ct
#B
Kathleen, GA 31047
Phone (478) 449-1475

404 Corder Rd
Ste 300
Warner Robins, GA 31088
Phone (478) 283-8322

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1386097848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 CORDER RD STE 300",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887195",
            "telephone_number": "478-449-1475",
            "fax_number": "877-712-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 CORDER RD STE 300",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887195",
            "telephone_number": "478-283-8322",
            "fax_number": "877-712-4794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Club Villa Ct Ste 300",
            "address_purpose": "LOCATION",
            "city": "Kathleen",
            "state": "GA",
            "postal_code": "310475496",
            "country_code": "US",
            "telephone_number": "478-224-0176",
            "fax_number": "877-712-4794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN BRIDGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "NEVA",
        "authorized_official_middle_name": "DANIELLE KNIGHT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-283-8322",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003222274A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003174143A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003220322A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003209756A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; 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.