NPIMap

Organization Active NPI

Pathways Center for Behavioral and Developmental Growth

  • Community/Behavioral Health Agency
  • Newnan, GA
National Provider Identifier
1457733412
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH
Practice address
225 Millard Farmer Ind Blvd
Building C, Suites 100 & 200
Newnan, GA 30263-3168
Phone
(678) 845-3830
NPI assigned
Jun 25, 2015
Organization subpart
Yes
Parent organization
PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Authorized official

Name
Tracy Hart
Title
Billing Manager
Phone
(706) 845-4045

Specialties & licenses 1

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

Addresses

Primary practice location

225 Millard Farmer Ind Blvd
Building C, Suites 100 & 200
Newnan, GA 30263-3168

Mailing address

122 Gordon Commercial Dr
Suire C
Lagrange, GA 30240-5754
Phone (706) 845-4045

National Provider Directory

National Provider Directory
Tax ID family
Pathways Center CSB16 organizations share this tax ID, including this one
Part of
Pathways Center CSB

Other organizations with this tax ID 15

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

View all 15

Locations

225 Millard Farmer Ind Blvd
Ste 200
Newnan, GA 30263
Phone (770) 502-2090

225 Millard Farmer Ind Blvd
Bldg C100
Newnan, GA 30263
Phone (678) 845-3830

Practitioners & affiliated clinicians

Practitioners 1

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": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1457733412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 GORDON COMMERCIAL DR",
            "address_2": "SUIRE C",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302405754",
            "telephone_number": "706-845-4045",
            "fax_number": "706-845-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MILLARD FARMER IND BLVD",
            "address_2": "BUILDING C, SUITES 100 & 200",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302633168",
            "telephone_number": "678-845-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "706-845-4045"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.