NPIMap

Organization Active NPI

K12 Clinics

  • Adolescent and Children Mental Health Clinic/Center
  • Hinesville, GA
National Provider Identifier
1992910749
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
047893 Issued in GA
Legal business name
K12 CLINICS
Practice address
938 Elma G. Miles Parkway
Hinesville, GA 31313
Phone
(912) 877-7924
Fax
(912) 877-5437
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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

Authorized official

Name
Dr. Aderemi S. Dosunmu, M.D.
Title
Medical Director
Phone
(912) 877-7924

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 047893 GA
Adult Mental Health Clinic/Center 261QM0850X 047893 GA
Adolescent and Children Mental Health Clinic/Center 261QM0855X 047893 GA Primary

Addresses

Primary practice location

938 Elma G. Miles Parkway
Hinesville, GA 31313

Mailing address

938 E.G. Miles Parkway
Hinesville, GA 31313
Phone (912) 877-7924

Other names 1

  • PSYCHIATRY NETWORK Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1992910749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 E.G. MILES PARKWAY",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "31313",
            "telephone_number": "912-877-7924",
            "fax_number": "912-877-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 ELMA G. MILES PARKWAY",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "31313",
            "telephone_number": "912-877-7924",
            "fax_number": "912-877-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K12 CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "DOSUNMU",
        "authorized_official_first_name": "ADEREMI",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "912-877-7924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "GA",
            "license": "047893",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "GA",
            "license": "047893",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "GA",
            "license": "047893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PSYCHIATRY NETWORK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hinesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.