Organization Active NPI

Community Georgia

  • Clinic/Center
  • Auburn, GA
National Provider Identifier
1841078458
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
COMMUNITY GEORGIA
Practice address
1542 Oakleaf Dr
Auburn, GA 30011-3268
Phone
(470) 905-2549
Fax
(877) 540-0067
NPI assigned
Sep 18, 2023
Last updated
Sep 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Mrs. Sheonkei GivnerNPI 1497401137
Title
Clinical Manager
Phone
(470) 905-2549

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Clinic/Center 261Q00000X Primary
Community Health Clinic/Center 261QC1500X
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

1542 Oakleaf Dr
Auburn, GA 30011-3268

Mailing address

1415 Highway 85 N Ste 310
Fayetteville, GA 30214-4185
Phone (470) 905-2549

National Provider Directory

National Provider Directory
Tax ID family
Community Georgia2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1415 Highway 85 N
Ste 310
Fayetteville, GA 30214

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": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1841078458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 HIGHWAY 85 N STE 310",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144185",
            "telephone_number": "470-905-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 OAKLEAF DR",
            "city": "AUBURN",
            "state": "GA",
            "postal_code": "300113268",
            "telephone_number": "470-905-2549",
            "fax_number": "877-540-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-04",
        "status": "A",
        "authorized_official_last_name": "GIVNER",
        "authorized_official_first_name": "SHEONKEI",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "470-905-2549",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.