NPIMap

Organization Active NPI

Ernestine Nelson

  • Community/Behavioral Health Agency
  • Waycross, GA
National Provider Identifier
1851663074
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ERNESTINE NELSON
Practice address
701 Reed St
Waycross, GA 31501-2931
Phone
(912) 285-7267
Fax
(912) 449-7060
NPI assigned
Feb 3, 2012
Organization subpart
Yes
Parent organization
SATILLA COMMUNITY SERVICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Authorized official

Name
Bobby Brown
Title
Ceo
Phone
(912) 449-7111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

701 Reed St
Waycross, GA 31501-2931

Mailing address

1007 Mary St
Waycross, GA 31503-3823
Phone (912) 449-7111

National Provider Directory

National Provider Directory
Tax ID family
Supportive Employment71 organizations share this tax ID, including this one
Part of
Supportive Employment

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1851663074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 MARY ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315033823",
            "telephone_number": "912-449-7111",
            "fax_number": "912-449-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 REED ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315012931",
            "telephone_number": "912-285-7267",
            "fax_number": "912-449-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNESTINE NELSON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SATILLA COMMUNITY SERVICE",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-449-7111"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.