Burnt Mountain Center Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

BURNT MOUNTAIN CENTER INC

Practice address

515 Pioneer Rd
Jasper, GA 30143-1225

Phone

(706) 692-6016

NPI assigned

Oct 17, 2023

Last updated

Oct 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberley Hyde

Title

Assistant Director/Business Manager

Phone

(706) 692-6016

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1629850466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301430337",
            "telephone_number": "706-692-6016",
            "fax_number": "706-692-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 PIONEER RD",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301431225",
            "telephone_number": "706-692-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNT MOUNTAIN CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "HYDE",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR/BUSINESS MANAGER",
        "authorized_official_telephone_number": "706-692-6016"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Brock
• Lisa K Broussard, LCSW008306
• Chelsea Brown
• Lois E Bryant, NURSE PRACTIONER
• Richard Fuller Buhl, D.D.S.
• George Bradford Cabe
• Matthew W Camp, MD
• Jimmie Dale Cannon Jr., MD
• Cardiac Disease Specialists, PC
• Dara Carroll

• Developmentally Disabled Services Day Training Agency in Jasper, GA
• Providers in Jasper, GA by specialty
• Developmentally Disabled Services Day Training Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.