Organization Active NPI

McIntosh Trail Management Services Inc

  • Case Management Agency
  • Griffin, GA
National Provider Identifier
1942088356
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MCINTOSH TRAIL MANAGEMENT SERVICES INCAs reported in NPPES

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
Terannie Brumbelow
Title
Executive Director
Phone
(770) 567-5948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

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.