BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA
NPI 1083754535
Clinic/Center - Mental Health (Including Community Mental Health Center) in Valdosta, GA
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- CLIA Number: 11D2071393
- CLIA Cert. Type: Other - BEHAV HLTH CRISIS CTR
- CLIA Exp. Date: 01-12-2028
About BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA
This page provides the complete NPI Profile along with additional information for Behavioral Health Services Of South Georgia, a provider established in Valdosta, Georgia operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1083754535 assigned on February 2007. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mrs. Jane B. Stephens Cpa (Chief Financial Officer)
- NPI
- 1083754535 Verify this NPI
- Provider Name
- BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 3120 N OAK STREET EXT STE C VALDOSTA, GA 31602
- Location Phone
- (229) 671-6100
- Mailing Address
- 3120 N OAK STREET EXT STE C VALDOSTA, GA 31602
- Mailing Phone
- (229) 671-6100
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-07-2007
- Last Update Date
- 10-07-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QD1600X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 300030865E | MEDICAID (05) | GA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2071393
- Facility Type
- Other - BEHAV HLTH CRISIS CTR
- Certificate Effective Date
- January 13, 2026
- Certificate Expiration Date
- January 12, 2028
- Laboratory Director
- JAYMAL R. PATEL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Behavioral Health Services Of South Georgia to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
VALDOSTA, GA 31602
VALDOSTA, GA 31602
VALDOSTA, GA 31602
VALDOSTA, GA 31602
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083754535, enumerated as an "organization" on February 07, 2007.
The provider is located at 3120 N OAK STREET EXT STE C VALDOSTA, GA 31602 and the phone number is (229) 671-6100.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
