NORTH JEFFERSON ST ANNEX
NPI 1073647905
Community/Behavioral Health in Dublin, GA

Active since March 15, 2007
600 N JEFFERSON ST, DUBLIN, GA 31021(478) 275-6800 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About North Jefferson St Annex NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH JEFFERSON ST ANNEX (NPI 1073647905) is a healthcare organization registered as a community/behavioral health in Dublin, Georgia and active in the NPI registry since March 2007. The organization lists Robert Keith Moran, Cfo, as its authorized official.

NPPES Registry Identity

NPI1073647905
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCOMMUNITY SERVICE BOARD OF MIDDLE GEORGIA
Location Address600 N JEFFERSON STDublin, GA 31021-6302
Mailing Address2121a Bellevue RdDublin, GA 31021-2998
Organization SubpartNo
Authorized OfficialRobert Keith MoranCfo · (478) 272-1190
Enumeration DateMarch 15, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1073647905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
600 N JEFFERSON ST, Dublin, GA 31021

Other Names 1

Doing Business AsNorth Jefferson St Annex

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
600 N JEFFERSON ST
DUBLIN, GA 31021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Service Board Of Middle Georgia's NPI number?

The NPI number for Community Service Board Of Middle Georgia is 1073647905. It was assigned to this organization in the NPPES registry on March 15, 2007. The provider is doing business as North Jefferson St Annex.

Where is Community Service Board Of Middle Georgia located?

Community Service Board Of Middle Georgia is located at 600 N Jefferson St, Dublin, GA 31021. The listed phone number is (478) 275-6800.

What is Community Service Board Of Middle Georgia's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

What insurance does Community Service Board Of Middle Georgia accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Community Service Board Of Middle Georgia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Community Service Board Of Middle Georgia was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.