NPIMap

Organization Active NPI

Georgia Mountain Community Services

Doing business as Avita Community Partners

  • Developmentally Disabled Services Day Training Agency
  • Cleveland, GA
National Provider Identifier
1902161722
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
GEORGIA MOUNTAIN COMMUNITY SERVICES
Doing business as
Avita Community Partners
Practice address
603 Shuler Rd
Cleveland, GA 30528-3562
Phone
(678) 513-5720
NPI assigned
Jul 9, 2012
Last updated
Jul 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Authorized official

Name
Tammy Thompson
Title
Billing Specialist
Phone
(678) 513-5720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

603 Shuler Rd
Cleveland, GA 30528-3562

Mailing address

4331 Thurmond Tanner Parkway
Flowery Branch, GA 30542-2829
Phone (678) 513-5720

Other identifiers 1

IdentifierTypeStateIssuer
000607054CAOtherGARESIDENTIAL FACILITY

Other names 1

  • Avita Community Partners Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Avita Community Partners127 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1902161722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4331 THURMOND TANNER PARKWAY",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305422829",
            "telephone_number": "678-513-5720",
            "fax_number": "678-513-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 SHULER RD",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305283562",
            "telephone_number": "678-513-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA MOUNTAIN COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "678-513-5720"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENTIAL FACILITY",
            "identifier": "000607054CA",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avita Community Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.