Organization Active NPI

Carepartners of Georgia,Inc

  • Community/Behavioral Health Agency
  • Swainsboro, GA
National Provider Identifier
1669451647
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
002239 Issued in GA
Legal business name
CAREPARTNERS OF GEORGIA,INC
Practice address
243 W Main St
Swainsboro, GA 30401-3163
Phone
(478) 237-2484
Fax
(478) 237-7541
NPI assigned
Jan 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Authorized official

Name
Mr. David Crooke, LPCNPI 1992241954
Title
Ceo
Phone
(478) 237-2484

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
Community/Behavioral Health Agency 251S00000X 002239 GA Primary

Addresses

Primary practice location

243 W Main St
Swainsboro, GA 30401-3163

Mailing address

PO Box 1094
Swainsboro, GA 30401-1094
Phone (478) 237-2484

Other identifiers 1

IdentifierTypeStateIssuer
153738676AMedicaidGA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2076548Carepartners of Georgia243 W Main St, Swainsboro, GA 30401Certificate of waiverApr 21, 2028

National Provider Directory

National Provider Directory
Tax ID family
Carepartners of Georgia2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1669451647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1094",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304011094",
            "telephone_number": "478-237-2484",
            "fax_number": "478-237-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 W MAIN ST",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013163",
            "telephone_number": "478-237-2484",
            "fax_number": "478-237-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREPARTNERS OF GEORGIA,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-10",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "CROOKE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-237-2484",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "002239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153738676A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Swainsboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.