Organization Active NPI

GRN: Community Service Boards

  • Community/Behavioral Health Agency
  • Covington, GA
National Provider Identifier
1639478688
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GRN: COMMUNITY SERVICE BOARDS
Practice address
101 Kirkland Rd
Covington, GA 30016-3317
Phone
(770) 784-0076
Fax
(770) 784-3036
NPI assigned
Mar 16, 2011
Last updated
Mar 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Authorized official

Name
Ms. Adelene Traylor
Title
Sstsr
Phone
(770) 784-0076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

101 Kirkland Rd
Covington, GA 30016-3317

Mailing address

101 Kirkland Rd
Covington, GA 30016-3317
Phone (770) 784-0076

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1639478688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 KIRKLAND RD",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300163317",
            "telephone_number": "770-784-0076",
            "fax_number": "770-784-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 KIRKLAND RD",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300163317",
            "telephone_number": "770-784-0076",
            "fax_number": "770-784-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRN: COMMUNITY SERVICE BOARDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "TRAYLOR",
        "authorized_official_first_name": "ADELENE",
        "authorized_official_title_or_position": "SSTSR",
        "authorized_official_telephone_number": "770-784-0076",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.