Active NPI
South Georgia Transitional Living Center
Doing business as Distinct Minds Academy
- Community/Behavioral Health Agency
- Valdosta, GA
National Provider Identifier
1801717913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SOUTH GEORGIA TRANSITIONAL LIVING CENTER
- Doing business as
- Distinct Minds Academy
- Practice address
- 913 Oliver St
Valdosta, GA 31601-3754 - Phone
- (229) 563-8414
- NPI assigned
- Jul 23, 2026
- Last updated
- Jul 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shelissa James
- Title
- Director
- Phone
- (229) 563-8414
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
913 Oliver St
Valdosta, GA 31601-3754
Mailing address
913 Oliver St
Valdosta, GA 31601-3754
Phone (229) 563-8414
Other names 1
- Distinct Minds Academy
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Behavior Technician
- Valdosta, GA
- NPI 1659290013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784764800000",
"number": "1801717913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "913 OLIVER ST",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316013754",
"telephone_number": "229-563-8414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 OLIVER ST",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316013754",
"telephone_number": "229-563-8414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH GEORGIA TRANSITIONAL LIVING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-23",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A",
"authorized_official_last_name": "JAMES",
"authorized_official_first_name": "SHELISSA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "229-563-8414"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Distinct Minds Academy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Valdosta, GA
- South Georgia Pediatric and Allergy Center
- South Georgia Periodontics, PC
- South Georgia Psychiatric & Counseling Center
- South Georgia Regional Anesthesia, PC
- South Georgia Toxicology, Inc
- South Georgia Upper Cervical Chiropractic, LLC (South Georgia Upper Cervical Chiropractic)
- South Georgia Vein Centers LLC
- South Health District (South Health District FP)
- South Health District (Lowndes Co Board of Health - Teen Center)
- South Health District (South Health District CMS)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.