NPIMap

Organization Active NPI

Methodist Home of the South Georgia Conference

  • Community/Behavioral Health Agency
  • Macon, GA
National Provider Identifier
1497132914
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC008321 Issued in GA
Legal business name
METHODIST HOME OF THE SOUTH GEORGIA CONFERENCE
Practice address
116 Pierce Ave
Macon, GA 31204-2891
Phone
(478) 464-3009
NPI assigned
May 5, 2015
Last updated
May 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Authorized official

Name
Clara MillerNPI 1801241344
Title
Family Consultant
Phone
(478) 464-3009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LPC008321 GA Primary

Addresses

Primary practice location

116 Pierce Ave
Macon, GA 31204-2891

Mailing address

304 Pierce Ave
Macon, GA 31204-2422

National Provider Directory

National Provider Directory
Tax ID family
Methodist Home for Children and Youth3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

116 Pierce Ave
Macon, GA 31204
Phone (478) 464-3001

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1497132914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 PIERCE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 PIERCE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042891",
            "telephone_number": "478-464-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST HOME OF THE SOUTH GEORGIA CONFERENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CLARA",
        "authorized_official_title_or_position": "FAMILY CONSULTANT",
        "authorized_official_telephone_number": "478-464-3009"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC008321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.