Genesis Behavioral Health Care Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1824 Issued in GA

Legal business name

GENESIS BEHAVIORAL HEALTH CARE SERVICES, INC.

Practice address

34 Oak St
East Ellijay, GA 30540-8151

Phone

(706) 636-5679

Fax

(706) 636-5680

NPI assigned

Nov 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gary L Rogers, PHDNPI 1922172683

Title

Chairman Ceo

Phone

(706) 636-5679

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Gary L Rogers, PHD

  • Forensic Psychologist
  • East Ellijay, GA
  • NPI 1922172683
  Authorized official Same address or phone
• Sarah M Burnett, M.S., R.D., L,D.

  • Registered Dietitian
  • Ellijay, GA
  • NPI 1740352327
  NPD (past)
• Milton Lynn Perry, MSCE, DMIN

  • Professional Counselor
  • East Ellijay, GA
  • NPI 1447325675
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831264118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 OAK ST",
            "address_2": "P O BOX 1659",
            "city": "EAST ELLIJAY",
            "state": "GA",
            "postal_code": "305408151",
            "telephone_number": "706-636-5679",
            "fax_number": "706-636-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 OAK ST",
            "city": "EAST ELLIJAY",
            "state": "GA",
            "postal_code": "305408151",
            "telephone_number": "706-636-5679",
            "fax_number": "706-636-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS BEHAVIORAL HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHAIRMAN CEO",
        "authorized_official_telephone_number": "706-636-5679",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "1824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00626315E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Leo G Frangipane Jr., MD
• Gencare of Georgia, Inc.
• Georgia Cancer Specialists I PC
• Georgia CVS Pharmacy LLC (CVS Pharmacy # 07736)
• Schneida Goodman-Bell
• Annsley Katherine Greeson
• Matthew William Hallman, R.PH.

• Community/Behavioral Health Agency in East Ellijay, GA
• Providers in East Ellijay, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.