Central Georgia Behavioral Management LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CENTRAL GEORGIA BEHAVIORAL MANAGEMENT LLC

Practice address

143 N Third St
Cochran, GA 31014-9563

Phone

(478) 298-2230

NPI assigned

Jul 8, 2009

Last updated

Apr 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tammie Clark

Title

Executive Director

Phone

(478) 298-2230

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1962631259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 RAINBOW RD",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "310147716",
            "telephone_number": "478-298-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 N THIRD ST",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "310149563",
            "telephone_number": "478-298-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL GEORGIA BEHAVIORAL MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-08",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "478-298-2230",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.