NPIMap

Organization Active NPI

Georgia College & State University

Doing business as Georgia College & State University Student Health Services

  • Student Health Clinic/Center
  • Milledgeville, GA
National Provider Identifier
1831443936
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
GEORGIA COLLEGE & STATE UNIVERSITY
Doing business as
Georgia College & State University Student Health Services
Practice address
120 W Campus Dr
CBX 091
Milledgeville, GA 31061-1990
Phone
(478) 445-5288
Fax
(478) 445-3142
NPI assigned
Oct 29, 2012
Last updated
Oct 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Susan Allen
Title
Interim Sr VP for Finance and Admin
Phone
(478) 445-5148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X NU Primary

Addresses

Primary practice location

120 W Campus Dr
CBX 091
Milledgeville, GA 31061-1990

Mailing address

120 W Campus Dr
CBX 091
Milledgeville, GA 31061-1990
Phone (478) 445-5288

Other names 1

  • Georgia College & State University Student Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Georgia College State University3 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.

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1831443936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W CAMPUS DR",
            "address_2": "CBX 091",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310611990",
            "telephone_number": "478-445-5288",
            "fax_number": "478-445-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W CAMPUS DR",
            "address_2": "CBX 091",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310611990",
            "telephone_number": "478-445-5288",
            "fax_number": "478-445-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA COLLEGE & STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-29",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "INTERIM SR VP FOR FINANCE AND ADMIN",
        "authorized_official_telephone_number": "478-445-5148"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgia College & State University Student Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 5, 2015; 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.