NPIMap

Organization Active NPI

Middle Flint Area Community Service Board

Doing business as Addiction Recovery Support Center

  • Community/Behavioral Health Agency
  • Americus, GA
National Provider Identifier
1679135453
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MIDDLE FLINT AREA COMMUNITY SERVICE BOARD
Doing business as
Addiction Recovery Support Center
Practice address
512 Millard Fuller Blvd
Americus, GA 31709-3425
Phone
(229) 815-1169
Fax
(229) 816-6606
NPI assigned
Jul 2, 2019
Last updated
Jan 29, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MIDDLE FLINT AREA COMMUNITY SERVICE BOARDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Margaret Jordan
Title
RCM Manager
Phone
(229) 815-5454

Specialties & licenses 1

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

Addresses

Primary practice location

512 Millard Fuller Blvd
Americus, GA 31709-3425

Mailing address

PO Box 1348
Americus, GA 31709-1348
Phone (229) 815-5454

Other names 2

  • Addiction Recovery Support Center Doing business as
  • New Life Addiction Recovery Support Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Middle Flint Area Community24 organizations share this tax ID, including this one
Part of
Middle Flint Area Community

Other organizations with this tax ID 23

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

View all 23

Locations

512 Millard Fuller Blvd
Americus, GA 31709
Phone (229) 815-1169

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1679135453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1348",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317091348",
            "telephone_number": "229-815-5454",
            "fax_number": "229-815-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 MILLARD FULLER BLVD",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093425",
            "telephone_number": "229-815-1169",
            "fax_number": "229-816-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE FLINT AREA COMMUNITY SERVICE BOARD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDDLE FLINT AREA COMMUNITY SERVICE BOARD",
        "enumeration_date": "2019-07-02",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "RCM MANAGER",
        "authorized_official_telephone_number": "229-815-5454"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addiction Recovery Support Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Life Addiction Recovery Support Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Americus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.