Organization Active NPI

The Arc of Southwest Georgia

  • Case Management Agency
  • Albany, GA
National Provider Identifier
1992980080
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
047R0008 Issued in GA
Legal business name
THE ARC OF SOUTHWEST GEORGIA
Practice address
2200 Stuart Ave
Albany, GA 31707-1729
Phone
(229) 888-6852
Fax
(229) 888-6875
NPI assigned
Jan 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Mrs. Deanna Julian
Title
Executive Director
Phone
(229) 888-6852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 047R0008 GA Primary

Addresses

Primary practice location

2200 Stuart Ave
Albany, GA 31707-1729

Mailing address

PO Box 71026
Albany, GA 31708-1026
Phone (229) 888-6852

Other practice location 1

3005 Old Dawson Rd
Albany, GA 31721-1517
Phone (229) 888-6852

Other identifiers 1

IdentifierTypeStateIssuer
000653375KMedicaidGA

Other names 2

  • Albany Advocacy Resource Center Former legal business name
  • Albany Association for Retarded Citizens Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Albany Advocacy Resource Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1992980080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71026",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317081026",
            "telephone_number": "229-888-6852",
            "fax_number": "229-888-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 STUART AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317071729",
            "telephone_number": "229-888-6852",
            "fax_number": "229-888-6875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3005 Old Dawson Rd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "GA",
            "postal_code": "317211517",
            "country_code": "US",
            "telephone_number": "229-888-6852",
            "fax_number": "229-888-6875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE ARC OF SOUTHWEST GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "JULIAN",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "229-888-6852",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": "047R0008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000653375K",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albany Advocacy Resource Center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Albany Association for Retarded Citizens",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Albany Association for Retarded Citizens",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.