NPIMap

Organization Active NPI

Georgia Mountains Community Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Flowery Branch, GA
National Provider Identifier
1447573712
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
GEORGIA MOUNTAINS COMMUNITY SERVICES
Practice address
4331 Thurmon Tanner Rd
Flowery Branch, GA 30542-2829
Phone
(678) 513-5762
NPI assigned
Mar 1, 2010
Last updated
Mar 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Authorized official

Name
Loretta B Jones
Title
Business Analyst
Phone
(678) 513-5762

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

4331 Thurmon Tanner Rd
Flowery Branch, GA 30542-2829

Mailing address

3305 Hutchinson Rd Apt 16101
Cumming, GA 30040-1500
Phone (678) 312-2792

Other identifiers 1

IdentifierTypeStateIssuer
000607054BIOtherGAMEDICAID PROVIDER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Georigia Mountians Community Services127 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1447573712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 HUTCHINSON RD APT 16101",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401500",
            "telephone_number": "678-312-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4331 THURMON TANNER RD",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305422829",
            "telephone_number": "678-513-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA MOUNTAINS COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "BUSINESS ANALYST",
        "authorized_official_telephone_number": "678-513-5762"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER NUMBER",
            "identifier": "000607054BI",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowery Branch, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.