NPIMap

Organization Active NPI

GRN Community Service Board

  • Community/Behavioral Health Agency
  • Covington, GA
National Provider Identifier
1396043337
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GRN COMMUNITY SERVICE BOARD
Practice address
8201 Hazelbrand Rd NE
Covington, GA 30014-1510
Phone
(770) 784-3022
NPI assigned
Feb 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Authorized official

Name
Mr. Frank Berry
Title
Executive Director
Phone
(770) 339-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

8201 Hazelbrand Rd NE
Covington, GA 30014-1510

Mailing address

8201 Hazelbrand Rd NE
Covington, GA 30014-1510
Phone (770) 784-3022

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1396043337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 HAZELBRAND RD NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300141510",
            "telephone_number": "770-784-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 HAZELBRAND RD NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300141510",
            "telephone_number": "770-784-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRN COMMUNITY SERVICE BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-28",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "770-339-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.