NPIMap

Organization Active NPI

North Georgia Autism Center LLC.

  • Behavior Analyst
  • Woodstock, GA
National Provider Identifier
1578048385
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
NORTH GEORGIA AUTISM CENTER LLC.
Practice address
9940 Highway 92
Woodstock, GA 30188-6417
Phone
(765) 414-6227
NPI assigned
Sep 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Authorized official

Name
Bethany Danielle Oliver Craig, M.ED., BCBANPI 1669975579
Title
Owner/Director
Phone
(765) 414-6227

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
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

9940 Highway 92
Woodstock, GA 30188-6417

Mailing address

9940 Highway 92
Woodstock, GA 30188-6417
Phone (765) 414-6227

Other practice location 1

703 Curtis Pkwy SE
Calhoun, GA 30701-3677
Phone (470) 473-5920

Other practice location 2

705 Curtis Pkwy SE
Calhoun, GA 30701-3677
Phone (470) 473-5920

Other identifiers 1

IdentifierTypeStateIssuer
003216615AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.northgeorgiaautism.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

703 Curtis Pkwy SE
Calhoun, GA 30701
Phone (470) 473-5920

705 Curtis Pkwy SE
Calhoun, GA 30701
Phone (470) 473-5920

9940 Highway 92
Woodstock, GA 30188
Phone (470) 473-5920

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1578048385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9940 HIGHWAY 92",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886417",
            "telephone_number": "765-414-6227",
            "fax_number": "888-979-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9940 HIGHWAY 92",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886417",
            "telephone_number": "765-414-6227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 Curtis Pkwy SE",
            "address_purpose": "LOCATION",
            "city": "Calhoun",
            "state": "GA",
            "postal_code": "307013677",
            "country_code": "US",
            "telephone_number": "470-473-5920",
            "fax_number": "888-979-8504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 Curtis Pkwy SE",
            "address_purpose": "LOCATION",
            "city": "Calhoun",
            "state": "GA",
            "postal_code": "307013677",
            "country_code": "US",
            "telephone_number": "470-473-5920",
            "fax_number": "888-979-8504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH GEORGIA AUTISM CENTER LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "OLIVER CRAIG",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "765-414-6227",
        "authorized_official_credential": "M.ED., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003216615A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.northgeorgiaautism.com",
            "affiliation": "N",
            "endpointDescription": "Company URL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9940 Highway 92",
            "city": "Woodstock",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301886417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.