NPIMap

Organization Active NPI

Georgia Community-Based Learning for at-Risk Youth

Doing business as Georgia C.L.A.Y.

  • Case Management Agency
  • Athens, GA
National Provider Identifier
1578859781
Registry record updated Jun 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
GEORGIA COMMUNITY-BASED LEARNING FOR AT-RISK YOUTH
Doing business as
Georgia C.L.A.Y.
Practice address
425 Brookwood Dr
Athens, GA 30605-3809
Phone
(706) 207-6181
NPI assigned
Jun 26, 2011
Last updated
Jun 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2011

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

Authorized official

Name
Mr. Stephen Vandiver McGarity, M.S.W.
Title
Community Director
Phone
(706) 207-6181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

425 Brookwood Dr
Athens, GA 30605-3809

Mailing address

425 Brookwood Dr
Athens, GA 30605-3809

Other names 1

  • Georgia C.L.A.Y. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309046400000",
    "number": "1578859781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 BROOKWOOD DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 BROOKWOOD DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053809",
            "telephone_number": "706-207-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA COMMUNITY-BASED LEARNING FOR AT-RISK YOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-26",
        "last_updated": "2011-06-26",
        "status": "A",
        "authorized_official_last_name": "MCGARITY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "VANDIVER",
        "authorized_official_title_or_position": "COMMUNITY DIRECTOR",
        "authorized_official_telephone_number": "706-207-6181",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S.W."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgia C.L.A.Y.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2011; 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.