NPIMap

Organization Active NPI

Clearwater Case Management and Behavior Health Services

  • Case Management Agency
  • Columbus, GA
National Provider Identifier
1699151787
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
004665 Issued in GA
Legal business name
CLEARWATER CASE MANAGEMENT AND BEHAVIOR HEALTH SERVICES
Practice address
233 12TH St
Suite 911-a
Columbus, GA 31901-2462
Phone
(706) 718-0011
NPI assigned
Jul 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Authorized official

Name
Kimberly Perkins
Title
Chief Executive Officer
Phone
(706) 718-6547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 004665 GA Primary

Addresses

Primary practice location

233 12TH St
Suite 911-a
Columbus, GA 31901-2462

Mailing address

233 12TH St
Suite 911-a
Columbus, GA 31901-2462

Other identifiers 1

IdentifierTypeStateIssuer
003160216AMedicaidGA

National Provider Directory

National Provider Directory

Locations

233 12th St
Ste 911A
Columbus, GA 31901
Phone (706) 718-0011

Practitioners & affiliated clinicians

Practitioners 1

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": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1699151787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 12TH ST",
            "address_2": "SUITE 911-A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 12TH ST",
            "address_2": "SUITE 911-A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012462",
            "telephone_number": "706-718-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER CASE MANAGEMENT AND BEHAVIOR HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "706-718-6547"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": "004665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003160216A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.