NPIMap

Organization Active NPI

Oconee Community Service Board

  • Community/Behavioral Health Agency
  • Eatonton, GA
National Provider Identifier
1679769640
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OCONEE COMMUNITY SERVICE BOARD
Practice address
101 East Sumpter
Eatonton, GA 31024
Phone
(706) 485-6573
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Ms. Debra Weaver
Title
Office Systems Manager
Phone
(478) 445-4971

Specialties & licenses 1

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

Addresses

Primary practice location

101 East Sumpter
Eatonton, GA 31024

Mailing address

101 East Sumpter
Eatonton, GA 31024
Phone (706) 485-6573

Other identifiers 2

IdentifierTypeStateIssuer
GRP1997OtherGAMEDICARE PROVIDER NUMBER
55002141AOtherGAMEDICARE CROSS OVER

National Provider Directory

National Provider Directory
Tax ID family
Oconee Community SVC Bo23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1679769640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EAST SUMPTER",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "31024",
            "telephone_number": "706-485-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EAST SUMPTER",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "31024",
            "telephone_number": "706-485-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONEE COMMUNITY SERVICE BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OFFICE SYSTEMS MANAGER",
        "authorized_official_telephone_number": "478-445-4971",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "GRP1997",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CROSS OVER",
            "identifier": "55002141A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatonton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.