Organization Active NPI

Methodist Home of the South Ga Conference

  • Community/Behavioral Health Agency
  • Macon, GA
National Provider Identifier
1568524882
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CI0000012147 Issued in GA
Legal business name
METHODIST HOME OF THE SOUTH GA CONFERENCE
Practice address
304 Pierce Ave
Macon, GA 31204-2422
Phone
(478) 751-2800
NPI assigned
Dec 14, 2006
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
Steve L Rumford
Title
President and Ceo
Phone
(478) 751-2800

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CI0000012147 GA Primary
Community/Behavioral Health Agency 251S00000X CPA001036 GA
Community/Behavioral Health Agency 251S00000X CI0000011053 GA
Community/Behavioral Health Agency 251S00000X CCI11006 GA
Community/Behavioral Health Agency 251S00000X CI0000012098 GA
Community/Behavioral Health Agency 251S00000X GA

Addresses

Primary practice location

304 Pierce Ave
Macon, GA 31204-2422

Mailing address

304 Pierce Ave
Macon, GA 31204-2422
Phone (478) 751-2800

Other identifiers 2

IdentifierTypeStateIssuer
00271679CMedicaidGA
00927671BMedicaidGA

Other names 1

  • Methodist Home for Children and Youth Other name

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568524882",
    "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",
            "telephone_number": "478-751-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 PIERCE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042422",
            "telephone_number": "478-751-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST HOME OF THE SOUTH GA CONFERENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUMFORD",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "478-751-2800"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CI0000012147",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CPA001036",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CI0000011053",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CCI11006",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CI0000012098",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00271679C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00927671B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Methodist Home for Children and Youth",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 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.