NPIMap

Organization Active NPI

Georgia Mountains Community Services

  • Developmentally Disabled Services Day Training Agency
  • Cornelia, GA
National Provider Identifier
1982923645
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
GEORGIA MOUNTAINS COMMUNITY SERVICES
Practice address
160 Silverwood Dr
Cornelia, GA 30531-5349
Phone
(678) 513-5762
NPI assigned
May 20, 2010
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Loretta Jones
Title
Business Analyst
Phone
(678) 513-5762

Corporate family (same tax ID) 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Georgia Mountain Community SVS (127 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

160 Silverwood Dr
Cornelia, GA 30531-5349

Mailing address

4331 Thurmon Tanner Rd
Flowery Branch, GA 30542-2829
Phone (678) 513-5762

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
000607054BPMedicaidGA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 20, 2010.

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1982923645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4331 THURMON TANNER RD",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305422829",
            "telephone_number": "678-513-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 SILVERWOOD DR",
            "city": "CORNELIA",
            "state": "GA",
            "postal_code": "305315349",
            "telephone_number": "678-513-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA MOUNTAINS COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_title_or_position": "BUSINESS ANALYST",
        "authorized_official_telephone_number": "678-513-5762"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000607054BP",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.