CLAYTON CSB
NPI 1124216825
Community/Behavioral Health in Conley, GA

Q: What is Clayton Community Mental Health Sa's NPI number?

The NPI number for Clayton Community Mental Health Sa is 1124216825. It was assigned to this organization in the NPPES registry on October 9, 2007. The provider is doing business as Clayton Csb.

Q: What is Clayton Community Mental Health Sa's specialty?

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

Active since October 09, 2007

1800 SLATE ROAD, CONLEY, GA 30288(770) 478-2280(770) 477-9772 Get Directions Write a Review

NPPES record last updated: November 15, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Clayton Csb NPPES

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

CLAYTON CSB (NPI 1124216825) is a healthcare organization registered as a community/behavioral health in Conley, Georgia and active in the NPI registry since October 2007. The organization lists Terry Cole, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1124216825

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCLAYTON COMMUNITY MENTAL HEALTH SA

Location Address1800 SLATE ROADConley, GA 30288-2014

Mailing Address157 Smith StJonesboro, GA 30236-3546 · (770) 478-2280 · Fax (770) 477-9772

Phone(770) 478-2280

Fax(770) 477-9772

Organization SubpartYesParent: Clayton Communinty Mental Health Substance Abuse Deve Svcs Board

Authorized OfficialTerry ColeExecutive Director · (770) 478-2280

Enumeration DateOctober 9, 2007

Last NPPES UpdateNovember 15, 2011

✔ NPI 1124216825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ 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.

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X

Also ListedClinic/CenterTaxonomy 261Q00000X

Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

1800 SLATE ROAD, Conley, GA 30288

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Other Names 1

Doing Business AsClayton Csb

Other Identifiers 3

Medicare PINGRP2322GA

Medicare PIN26BDJGPGA

Medicaid00604205AGA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clayton Csb is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 6 clinicians reassign Medicare billing to Clayton Csb, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (6)

Ramesh Amin, MD

Psychiatry

NPI 1427037514

1814 LAKEFIELD CT SE STE A
Conyers, GA 30013

(770) 922-4770

✔ PECOS✔ Accepts Medicare19 mi

Rena Castlin, NP

Nurse Practitioner

NPI 1619216892

400 TOWER RD NE SUITE 350
Marietta, GA 30060

(770) 590-1078

✔ PECOS✔ Accepts Medicare27 mi

Portia Risper, FNP-BC

Nurse Practitioner

NPI 1497294532

600 S PINE HILL RD APT H6
Griffin, GA 30224

(404) 561-2505

✔ PECOS✔ Accepts Medicare28 mi

Shahzad Hashmi, M.D.,

Psychiatry

NPI 1770566341

200 WISTERIA DR
Gainesville, GA 30501

(770) 219-5407

✔ PECOS✔ Accepts Medicare55 mi

Lena Champlin, NP-C

Nurse Practitioner

NPI 1376982850

109 W 27TH ST RM 5S
New York, NY 10001

(833) 351-8255

✔ PECOS✔ Accepts Medicare751 mi

Oyenike Sanni

Nurse Practitioner

NPI 1841601010

780 PAPER CREEK DR
Lawrenceville, GA 30046

(770) 682-3060

✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Clayton Community Mental Health Sa's NPI number?

The NPI number for Clayton Community Mental Health Sa is 1124216825. It was assigned to this organization in the NPPES registry on October 9, 2007. The provider is doing business as Clayton Csb.

Where is Clayton Community Mental Health Sa located?

Clayton Community Mental Health Sa is located at 1800 Slate Road, Conley, GA 30288. The listed phone number is (770) 478-2280.

What is Clayton Community Mental Health Sa's specialty?

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

Is Clayton Community Mental Health Sa enrolled in Medicare?

Yes. Clayton Community Mental Health Sa is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clayton Community Mental Health Sa?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Clayton Community Mental Health Sa. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Psychiatry (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Clayton Community Mental Health Sa was last updated on November 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.