NPIMap

Organization Active NPI

Middle Flint Area Community Service Board

  • Community/Behavioral Health Agency
  • Warner Robins, GA
National Provider Identifier
1447320205
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MIDDLE FLINT AREA COMMUNITY SERVICE BOARD
Practice address
83 Green St
Warner Robins, GA 31093-2635
Phone
(478) 988-1222
Fax
(478) 225-2471
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Margaret Jordan
Title
RCM Manager
Phone
(229) 815-5454

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 582105225 GA
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

83 Green St
Warner Robins, GA 31093-2635

Mailing address

83 Green St
Warner Robins, GA 31093-2635
Phone (478) 988-1222

Other identifiers 1

IdentifierTypeStateIssuer
003212488AMedicaidGA

Other names 1

  • WTRS-IOP Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040601000201 GA Part B Supplier - Clinic/Group Practice 8921089350 Receives reassigned benefits from 1 practitioner
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Warner Robins, GA; Fort Valley, GA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Center Community Service Board10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1447320205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 GREEN ST",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310932635",
            "telephone_number": "478-988-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 GREEN ST",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310932635",
            "telephone_number": "478-988-1222",
            "fax_number": "478-225-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE FLINT AREA COMMUNITY SERVICE BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "RCM MANAGER",
        "authorized_official_telephone_number": "229-815-5454"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "582105225",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003212488A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WTRS-IOP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WTRS-IOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.