Active NPI
Methodist Home of the South Ga Conference
- Community/Behavioral Health Agency
- Macon, GA
National Provider Identifier
1568524882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- CI0000012147
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00271679C | Medicaid | GA | |
| 00927671B | Medicaid | GA |
Other names 1
- Methodist Home for Children and Youth
National Provider Directory
National Provider Directory- Tax ID family
- Methodist Home for Children and Youth
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Macon, GA
- NPI 1497132914
-
- Voluntary or Charitable Agency
- Macon, GA
- NPI 1255599346
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
- Terrence G Mermann, PROFESSIONAL COUNSEL
- Mary Heather Merritt, LCSW
- Catherine Jennifer Meschler, M.D.
- Kimberly Mesumbe, PHARMD
- Metabolic Health of Lawrenceville
- Methodist Home of the South Georgia Conference
- Methodist Home of the South Georgia Conference, Inc.
- Mary Rachel Metzger
- Meyer Cardiology, PC
- Andrea Selaine Meyer Stinson, PH.D., LMFT
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.