Support Solutions of Georgia

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

CLA000914 Issued in GA

Legal business name

SUPPORT SOLUTIONS OF GEORGIA

Practice address

207 Pitcarin Way
Augusta, GA 30909-5767

Phone

(706) 396-0584

Fax

(706) 396-0544

NPI assigned

Mar 15, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Larry Durbin, ED

Title

Chief Executive Officer

Phone

(901) 383-9193

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1467793455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 PITCARIN WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095767",
            "telephone_number": "706-396-0584",
            "fax_number": "706-396-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 PITCARIN WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095767",
            "telephone_number": "706-396-0584",
            "fax_number": "706-396-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT SOLUTIONS OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "DURBIN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "901-383-9193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "GA",
            "license": "CLA000914",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "121-R-1009",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003121917B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Augusta, GA
• Providers in Augusta, GA by specialty
• Developmentally Disabled Services Day Training Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.