NPIMap

Organization Active NPI

Albany Area CSB

  • Public Health or Welfare Agency
  • Blakely, GA
National Provider Identifier
1699839969
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
ALBANY AREA CSB
Practice address
763 Jesse Johnson Dr
Blakely, GA 39823-3224
Phone
(229) 430-4002
NPI assigned
Dec 21, 2006
Last updated
Dec 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Dana Glass, LCSWNPI 1982792974
Title
Chief Executive Officer
Phone
(229) 430-4005

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
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

763 Jesse Johnson Dr
Blakely, GA 39823-3224

Mailing address

PO Box 1988
Albany, GA 31702-1988
Phone (229) 430-4140

Other names 1

  • Early Co CA Other name

National Provider Directory

National Provider Directory
Tax ID family
Primus Twinflower Road33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

Locations

763 Jesse Johnson Dr
Blakely, GA 39823
Phone (229) 430-4002

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1699839969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1988",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317021988",
            "telephone_number": "229-430-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 JESSE JOHNSON DR",
            "city": "BLAKELY",
            "state": "GA",
            "postal_code": "398233224",
            "telephone_number": "229-430-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY AREA CSB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "229-430-4005",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Early Co CA",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Early Co CA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Blakely, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.