NPIMap

Organization Active NPI

Albany Area Community Service Board

  • Public Health or Welfare Agency
  • Albany, GA
National Provider Identifier
1619031986
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
ALBANY AREA COMMUNITY SERVICE BOARD
Practice address
1120 W Broad Ave Ste C5
Albany, GA 31707-4386
Phone
(229) 430-4002
NPI assigned
Dec 21, 2006
Last updated
Dec 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Dana P Glass, LCSWNPI 1982792974
Title
Cheif Executive Officer
Phone
(229) 430-4005

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
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

1120 W Broad Ave Ste C5
Albany, GA 31707-4386

Mailing address

601 11TH Ave
Albany, GA 31701-1645
Phone (229) 430-4140

Other identifiers 1

IdentifierTypeStateIssuer
000601796HMedicaidGA

Other names 1

  • Do Co - 11th Ave Other name

National Provider Directory

National Provider Directory
Tax ID family
Albany Area Community Service Board33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Locations

1120 W Broad Ave
Ste C5
Albany, GA 31707
Phone (229) 430-4002

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1619031986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 11TH AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011645",
            "telephone_number": "229-430-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W BROAD AVE STE C5",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317074386",
            "telephone_number": "229-430-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY AREA COMMUNITY SERVICE BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "229-430-4005",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000601796H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Do Co - 11th Ave",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.