NPIMap

Organization Active NPI

Gateway Behavioral Health Services

Doing business as Camden Peer Support

  • Community/Behavioral Health Agency
  • Woodbine, GA
National Provider Identifier
1902451693
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GATEWAY BEHAVIORAL HEALTH SERVICES
Doing business as
Camden Peer Support
Practice address
210 E 15TH St Ste a
Woodbine, GA 31569-5501
Phone
(912) 554-8500
NPI assigned
Aug 8, 2019
Last updated
Aug 8, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
GATEWAY BEHAVIORAL HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Authorized official

Name
Lindsay Cox
Title
Credentialing
Phone
(912) 449-7111

Specialties & licenses 1

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

Addresses

Primary practice location

210 E 15TH St Ste a
Woodbine, GA 31569-5501

Mailing address

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

Other names 1

  • Camden Peer Support Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Marsh Haven72 organizations share this tax ID, including this one
Part of
Marsh Haven

Organizations with this tax ID in the same state 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1902451693",
    "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": "210 E 15TH ST STE A",
            "city": "WOODBINE",
            "state": "GA",
            "postal_code": "315695501",
            "telephone_number": "912-554-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GATEWAY BEHAVIORAL HEALTH SERVICES",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "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": [
        {
            "organization_name": "Camden Peer Support",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbine, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.