Easter Seals Middle Georgia

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

EASTER SEALS MIDDLE GEORGIA

Practice address

604 Kellam Rd
Dublin, GA 31021-3377

Phone

(478) 275-8850

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Wayne Peebles

Title

President

Phone

(478) 275-8850

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410480000000",
    "number": "1386864973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 KELLAM RD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213377",
            "telephone_number": "478-275-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 KELLAM RD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213377",
            "telephone_number": "478-275-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS MIDDLE GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2014-09-12",
        "status": "A",
        "authorized_official_last_name": "PEEBLES",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-275-8850"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000722169B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000722169A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garreyuna Duty
• Dva Renal Healthcare Inc
• E & a Cares, LLC
• Maxine NMN Easley, LMSW
• Robin Myron Eason, RN
• Sally Nadine Eddins, LCSW
• Robert Edge
• Tammy E. Edge, LPC, EDS
• Gwendolyn T Edmond, LPC
• Kizzy Oliver Edmond, FNP-C

• Voluntary or Charitable Agency in Dublin, GA
• Providers in Dublin, 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 Sep 12, 2014; 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.