Organization Active NPI

Primecare ABA

  • Community/Behavioral Health Agency
  • Milledgeville, GA
National Provider Identifier
1740028117
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PRIMECARE ABA
Practice address
1735 Irwinton Rd Ste 3a
Milledgeville, GA 31061-3830
Phone
(470) 788-0348
NPI assigned
Jul 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Caleb Flournoy
Title
Ceo
Phone
(478) 345-0523

Specialties & licenses 1

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

Addresses

Primary practice location

1735 Irwinton Rd Ste 3a
Milledgeville, GA 31061-3830

Mailing address

50 Hurt PLZ SE Ste 3a
Atlanta, GA 30303-2946
Phone (478) 788-0348

National Provider Directory

National Provider Directory

Locations

2932 Heritage Pl NE
Milledgeville, GA 31061
Phone (478) 246-7195

1735 Irwinton Rd
Ste 3A
Milledgeville, GA 31061
Phone (470) 788-0348

Practitioners & affiliated clinicians

Practitioners 4

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": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1740028117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HURT PLZ SE STE 3A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303032946",
            "telephone_number": "478-788-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 IRWINTON RD STE 3A",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310613830",
            "telephone_number": "470-788-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "FLOURNOY",
        "authorized_official_first_name": "CALEB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-345-0523"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.