Peachstate Behavioral Health Services

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

PEACHSTATE BEHAVIORAL HEALTH SERVICES

Practice address

233 Davis Rd
Suite G
Augusta, GA 30907-2499

Phone

(706) 726-4711

NPI assigned

Dec 9, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Julie Thomas, M.ED.NPI 1881761674

Title

Executive Director

Phone

(706) 726-4711

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie D Thomas

  • Mental Health Counselor
  • Augusta, GA
  • NPI 1881761674
  NPD (past) Authorized official

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1437488129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 CENTRAL AVE",
            "address_2": "SUITE A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046295",
            "telephone_number": "706-726-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 DAVIS RD",
            "address_2": "SUITE G",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072499",
            "telephone_number": "706-726-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHSTATE BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "706-726-4711",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281814287A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheena Lemere Payton, RN, BSN
• Fatemeh Azadeh Paziraei, D.M.D.
• Peaceful Living III, LLC
• Peach State Emergency Physicians LLC
• Peachcare Family Chiropractic, LLC
• Benjamin A Peacock, CRNA
• Christy Marie Peacock, R.N.
• Mark Eugene Peacock, DMD, MS
• Ronald Thomas Peacock, D.D.S.
• Peak Rehabilitation, Fitness and Performance Center

• All providers in Augusta, GA
• Adolescent and Children Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.