NPIMap

Organization Active NPI

Pathways Center for Behavioral and Developmental Growth

  • Community/Behavioral Health Agency
  • Greenville, GA
National Provider Identifier
1992036685
Registry record updated May 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH
Practice address
756 Woodbury Rd
Greenville, GA 30222-1514
Phone
(706) 775-0543
Fax
(706) 775-0597
NPI assigned
Jan 20, 2010
Last updated
May 7, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2010

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

Authorized official

Name
Jade Russell Benefield, MBA
Title
Executive Director
Phone
(706) 845-4045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

756 Woodbury Rd
Greenville, GA 30222-1514

Mailing address

122 Gordon Commercial Dr
Suite C
Lagrange, GA 30240-5754
Phone (706) 845-4045

National Provider Directory

National Provider Directory
Tax ID family
Chatt-Flint MH Mr Sa Co16 organizations share this tax ID, including this one
Part of
Chatt-Flint MH Mr Sa Co

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273190400000",
    "number": "1992036685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 GORDON COMMERCIAL DR",
            "address_2": "SUITE C",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302405754",
            "telephone_number": "706-845-4045",
            "fax_number": "706-845-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 WOODBURY RD",
            "city": "GREENVILLE",
            "state": "GA",
            "postal_code": "302221514",
            "telephone_number": "706-775-0543",
            "fax_number": "706-775-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-05-07",
        "status": "A",
        "authorized_official_last_name": "BENEFIELD",
        "authorized_official_first_name": "JADE",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "706-845-4045",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.