Organization Active NPI

Youth Forward Initiative Inc.

  • Community/Behavioral Health Agency
  • Hazlehurst, GA
National Provider Identifier
1659233229
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
YOUTH FORWARD INITIATIVE INC.
Practice address
117 Martin Luther King Blvd
Hazlehurst, GA 31539-7449
Phone
(912) 240-9811
NPI assigned
Dec 2, 2025
Last updated
Dec 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Authorized official

Name
Mr. Rodney Atwaters Jr.
Title
Executive Director
Phone
(864) 357-0264

Specialties & licenses 1

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

Addresses

Primary practice location

117 Martin Luther King Blvd
Hazlehurst, GA 31539-7449

Mailing address

1589 Burketts Ferry Rd
Hazlehurst, GA 31539-7449

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1659233229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 BURKETTS FERRY RD",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315397449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MARTIN LUTHER KING BLVD",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315397449",
            "telephone_number": "912-240-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH FORWARD INITIATIVE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "ATWATERS",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "864-357-0264",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlehurst, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.