NPIMap

Organization Active NPI

Middle Georgia Behavioral Services

  • Case Manager/Care Coordinator
  • Dublin, GA
National Provider Identifier
1659402154
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
MIDDLE GEORGIA BEHAVIORAL SERVICES
Practice address
402 W Madison St
Dublin, GA 31021-5232
Phone
(478) 275-4845
Fax
(478) 277-9192
NPI assigned
Mar 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lisa H Morrell
Title
Billing Manager
Phone
(478) 275-4845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X GA Primary

Addresses

Primary practice location

402 W Madison St
Dublin, GA 31021-5232

Mailing address

402 W Madison St
Dublin, GA 31021-5232
Phone (478) 275-4845

National Provider Directory

National Provider Directory
Tax ID family
Middle Georgia Behavioral Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

402 W Madison St
Dublin, GA 31021
Phone (478) 275-4845

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659402154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W MADISON ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310215232",
            "telephone_number": "478-275-4845",
            "fax_number": "478-277-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W MADISON ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310215232",
            "telephone_number": "478-275-4845",
            "fax_number": "478-277-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE GEORGIA BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRELL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "478-275-4845"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.