Peach County Association for the M.R. Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

PEACH COUNTY ASSOCIATION FOR THE M.R. INC

Practice address

213 Allen St
Fort Valley, GA 31030-2714

Phone

(478) 825-3124

Fax

(478) 825-8054

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael Todd Youngblood

Title

Executive Director

Phone

(478) 825-3124

Specialties & licenses 1

Addresses

Other names 1

• Kay Community Service Center Other name

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992843346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 ALLEN ST",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310302714",
            "telephone_number": "478-825-3124",
            "fax_number": "478-825-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 ALLEN ST",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310302714",
            "telephone_number": "478-825-3124",
            "fax_number": "478-825-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACH COUNTY ASSOCIATION FOR THE M.R. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNGBLOOD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "478-825-3124",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kay Community Service Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Belinda Marshelle Oates, MS
• Anna Omachonu
• Keenan James Pacut
• Rachna Patel, MD
• Peach Center
• Peach County Board of Commissioners
• Peach County Board of Health
• Peach Emergency Physicians LLC
• Peach Family Dentistry,LLC
• Kelli Peavy, PHARMD

• Developmentally Disabled Services Day Training Agency in Fort Valley, GA
• Providers in Fort Valley, GA by specialty
• Developmentally Disabled Services Day Training Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.