Central Savannah River Area Regional Development Center

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CENTRAL SAVANNAH RIVER AREA REGIONAL DEVELOPMENT CENTER

Practice address

3626 Walton Way Ext Ste 300
Augusta, GA 30909-6421

Phone

(706) 210-2000

Fax

(706) 210-2006

NPI assigned

Dec 2, 2016

Organization subpart

No

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

Authorized official

Name

Anthony H Crosson

Title

Executive Director

Phone

(706) 210-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Central Savannah River Area Regional Commission Doing business as

Locations

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1992248389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 WALTON WAY EXT STE 300",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096421",
            "telephone_number": "706-210-2000",
            "fax_number": "706-210-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 WALTON WAY EXT STE 300",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096421",
            "telephone_number": "706-210-2000",
            "fax_number": "706-210-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL SAVANNAH RIVER AREA REGIONAL DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-02",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "CROSSON",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "706-210-2000"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003182587A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Savannah River Area Regional Commission",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Management Agency in Augusta, GA
• Providers in Augusta, GA by specialty
• Case Management Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.