Organization Active NPI

Montgomery County Board of Education

  • Local Education Agency (LEA)
  • Mount Vernon, GA
National Provider Identifier
1578633418
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
MONTGOMERY COUNTY BOARD OF EDUCATION
Practice address
403 Fulton St
Mount Vernon, GA 30445
Phone
(912) 583-2279
NPI assigned
Nov 8, 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
Dale C Clark
Title
Superintendent
Phone
(912) 583-2279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

403 Fulton St
Mount Vernon, GA 30445

Mailing address

1100 Edgewood Dr
East Central GLRS
Dublin, GA 31021-5522
Phone (478) 275-1018

Other names 1

  • Montgomery County Schools Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578633418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 EDGEWOOD DR",
            "address_2": "EAST CENTRAL GLRS",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310215522",
            "telephone_number": "478-275-1018",
            "fax_number": "478-296-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 FULTON ST",
            "city": "MOUNT VERNON",
            "state": "GA",
            "postal_code": "30445",
            "telephone_number": "912-583-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY COUNTY BOARD OF EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "912-583-2279"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery County Schools",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Vernon, 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.