NPIMap

Organization Active NPI

Middle Georgia Behavioral Services

  • Case Management Agency
  • Dublin, GA
National Provider Identifier
1790939171
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MIDDLE GEORGIA BEHAVIORAL SERVICES
Practice address
402 W Madison St
Dublin, GA 31021-5232
Phone
(478) 275-4845
Fax
(478) 277-9192
NPI assigned
Nov 11, 2008
Last updated
Nov 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Authorized official

Name
Lisa H Morrell
Title
Billing Manager
Phone
(478) 275-4845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

402 W Madison St
Dublin, GA 31021-5232

Mailing address

402 W Madison St
PO Box 635
Dublin, GA 31021-5232
Phone (478) 275-4845

Other identifiers 1

IdentifierTypeStateIssuer
845236863BMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Middle Georgia Behavioral Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1790939171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W MADISON ST",
            "address_2": "PO BOX 635",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310215232",
            "telephone_number": "478-275-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W MADISON ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310215232",
            "telephone_number": "478-275-4845",
            "fax_number": "478-277-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE GEORGIA BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "MORRELL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "478-275-4845"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "845236863B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.