NPIMap

Organization Active NPI

Acs of Georgia

  • Early Intervention Provider Agency
  • Albany, GA
National Provider Identifier
1457635815
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
ACS OF GEORGIA
Practice address
1005 W Tift Ave
Albany, GA 31701-5800
Phone
(229) 809-0403
NPI assigned
Oct 4, 2011
Last updated
Oct 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Derrick Simon
Title
Director of Operations
Phone
(229) 809-0403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

1005 W Tift Ave
Albany, GA 31701-5800

Mailing address

PO Box 70241
Albany, GA 31708-0241

National Provider Directory

National Provider Directory

Locations

1005 W Tift Ave
Albany, GA 31701
Phone (229) 809-0403

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1457635815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70241",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317080241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W TIFT AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317015800",
            "telephone_number": "229-809-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACS OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "229-809-0403"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.