Griffin Area Resource Center, Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

GRIFFIN AREA RESOURCE CENTER, INC

Practice address

931 Hamilton Blvd
Griffin, GA 30223-4430

Phone

(770) 228-9919

NPI assigned

Apr 27, 2022

Organization subpart

No

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

Authorized official

Name

Laura Wallace

Title

Executive Director

Phone

(770) 228-9919

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1497499230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302240022",
            "telephone_number": "770-228-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 HAMILTON BLVD",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302234430",
            "telephone_number": "770-228-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIFFIN AREA RESOURCE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "770-228-9919"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000647127A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000647127L",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Appaswamy M Gowda, MD
• Grace Medical Clinic
• Charles Frederick Graci Sr., CRNA
• Greater Biometric Services
• Tracey Greene-Johnson, M.D.
• Griffin Center for Pain and Spine
• Griffin Dental Specialties
• Griffin Family Dentistry
• Griffin Family Medicine, LLC
• Griffin Imaging, LLC

• All providers in Griffin, GA
• 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 Apr 27, 2022; 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.