Organization Active NPI

New Vision Youth & Community Services, Inc

  • Case Management Agency
  • Milledgeville, GA
National Provider Identifier
1952052524
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
NEW VISION YOUTH & COMMUNITY SERVICES, INC
Practice address
105 Fieldstone Dr Ste 107
Milledgeville, GA 31061-7105
Phone
(404) 884-1907
NPI assigned
Jan 14, 2022
Last updated
Jan 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Authorized official

Name
Ms. Lisha BlyNPI 1073159638
Title
Ceo
Phone
(404) 884-1907

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

105 Fieldstone Dr Ste 107
Milledgeville, GA 31061-7105

Mailing address

PO Box 743
Milledgeville, GA 31059-0743
Phone (404) 884-1907

Other names 1

  • New Vision Youth & Community Services, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

105 Fieldstone Dr
Ste 107
Milledgeville, GA 31061
Phone (404) 884-1907

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1952052524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310590743",
            "telephone_number": "404-884-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FIELDSTONE DR STE 107",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310617105",
            "telephone_number": "404-884-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISION YOUTH & COMMUNITY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "BLY",
        "authorized_official_first_name": "LISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-884-1907",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Vision Youth & Community Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.