Active NPI
McIntosh Trail Management Services Inc
- Case Management Agency
- Griffin, GA
National Provider Identifier
1942088356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- MCINTOSH TRAIL MANAGEMENT SERVICES INC
- Practice address
- 246 Odell Rd Ste 5
Griffin, GA 30224-4880 - Phone
- (770) 567-5948
- NPI assigned
- Sep 18, 2023
- Last updated
- Sep 18, 2023
- Organization subpart
- Yes
- Parent organization
- MCINTOSH TRAIL MANAGEMENT SERVICES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terannie Brumbelow
- Title
- Executive Director
- Phone
- (770) 567-5948
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | Primary |
Addresses
Primary practice location
246 Odell Rd Ste 5
Griffin, GA 30224-4880
Mailing address
246 Odell Rd Ste 5
Griffin, GA 30224-4880
Phone (770) 567-5948
Other practice location 1
3200 Riverside Dr Ste 200A
Macon, GA 31210-2550
Phone (706) 302-1443
Other practice location 2
3675 Franklin Pkwy
Franklin, GA 30217-7538
Phone (177) 056-7594
Other names 1
- McIntosh Trail Management Services
National Provider Directory
National Provider Directory- Part of
- McIntosh Trail Management Services Inc
Locations
3675 Franklin Pkwy
Franklin, GA 30217
246 Odell Rd
Ste 5
Griffin, GA 30224
Phone (770) 233-0023
3200 Riverside Dr
Ste 200A
Macon, GA 31210
Phone (706) 302-1443
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": "1942088356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 ODELL RD STE 5",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244880",
"telephone_number": "770-567-5948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 ODELL RD STE 5",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244880",
"telephone_number": "770-567-5948"
}
],
"practiceLocations": [
{
"address_1": "3200 Riverside Dr Ste 200A",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "GA",
"postal_code": "312102550",
"country_code": "US",
"telephone_number": "706-302-1443",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3675 Franklin Pkwy",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "GA",
"postal_code": "302177538",
"country_code": "US",
"telephone_number": "177-056-7594",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MCINTOSH TRAIL MANAGEMENT SERVICES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MCINTOSH TRAIL MANAGEMENT SERVICES INC",
"enumeration_date": "2023-09-18",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A",
"authorized_official_last_name": "BRUMBELOW",
"authorized_official_first_name": "TERANNIE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "770-567-5948"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "McIntosh Trail Management Services",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Griffin, GA
- McIntosh Trail CSB
- McIntosh Trail CSB (Pinewoods MH)
- McIntosh Trail CSB
- McIntosh Trail CSB (BHC Pharmacy)
- McIntosh Trail Family Practice
- Tracy Lashon McLean, LAPC
- David James McMurtry, PT, MPT
- Roselle Turman McPherson, MSW, LCSW-C
- MDG - Griffin Dental LLC (Doctor Laura Durham DDS)
- Medsurg Vision LLC
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.