NPIMap

Organization Active NPI

South Georgia Psychiatric & Counseling Center

  • Mental Health Counselor
  • Valdosta, GA
National Provider Identifier
1477680973
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SOUTH GEORGIA PSYCHIATRIC & COUNSELING CENTER
Practice address
2704 N Oak St
Building B-3
Valdosta, GA 31602-1744
Phone
(229) 257-0100
Fax
(229) 257-0050
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Carol Sheffield
Title
Office Manager
Phone
(229) 257-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2704 N Oak St
Building B-3
Valdosta, GA 31602-1744

Mailing address

2704 N Oak St
Building B-3
Valdosta, GA 31602-1744
Phone (229) 257-0100

National Provider Directory

National Provider Directory

Locations

2704 N Oak St
Bldg B3
Valdosta, GA 31602
Phone (229) 257-0100

Practitioners & affiliated clinicians

Practitioners 12

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477680973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 N OAK ST",
            "address_2": "BUILDING B-3",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021744",
            "telephone_number": "229-257-0100",
            "fax_number": "229-257-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 N OAK ST",
            "address_2": "BUILDING B-3",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021744",
            "telephone_number": "229-257-0100",
            "fax_number": "229-257-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH GEORGIA PSYCHIATRIC & COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEFFIELD",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "229-257-0100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.