NPIMap

Organization Active NPI

Shepherd's Hill Academy, Inc

  • Children's Substance Abuse Rehabilitation Facility
  • Martin, GA
National Provider Identifier
1437519451
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
OCCP001025 Issued in GA
Legal business name
SHEPHERD'S HILL ACADEMY, INC
Practice address
2200 Price Rd
Martin, GA 30557-3457
Phone
(706) 779-5766
Fax
(706) 779-5052
NPI assigned
Mar 3, 2016
Last updated
Mar 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Authorized official

Name
Beth Embry
Title
Assistant Director
Phone
(706) 491-1113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X OCCP001025 GA Primary

Addresses

Primary practice location

2200 Price Rd
Martin, GA 30557-3457

Mailing address

2200 Price Rd
Martin, GA 30557-3457
Phone (706) 779-5766

National Provider Directory

National Provider Directory
Tax ID family
Shepherd's Hill Academy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1437519451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PRICE RD",
            "city": "MARTIN",
            "state": "GA",
            "postal_code": "305573457",
            "telephone_number": "706-779-5766",
            "fax_number": "706-779-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PRICE RD",
            "city": "MARTIN",
            "state": "GA",
            "postal_code": "305573457",
            "telephone_number": "706-779-5766",
            "fax_number": "706-779-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD'S HILL ACADEMY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "EMBRY",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "706-491-1113"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "GA",
            "license": "OCCP001025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.