WILLIE MAE BERRY PUGH
NPI 1144747437
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Hephzibah, GA

Q: What is Willie Mae Pugh's NPI number?

The NPI number for Willie Mae Pugh is 1144747437. It was assigned to this individual provider in the NPPES registry on August 28, 2017.

Q: What is Willie Mae Pugh's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Q: When was this NPI record last updated?

The NPPES record for Willie Mae Pugh was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 28, 2017

2013 TEAL COURT, HEPHZIBAH, GA 30815(706) 790-4961 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 28, 2017 (2 updates tracked since 2017).

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About Willie Mae Berry Pugh NPPES

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

WILLIE MAE BERRY PUGH (NPI 1144747437) is an individual residential treatment facility, intellectual and/or developmental disabilities provider in Hephzibah, Georgia and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1144747437

Entity TypeIndividualFemale

Primary Taxonomy320600000X

Provider Legal NameWILLIE MAE BERRY PUGH

Location Address2013 TEAL COURTHephzibah, GA 30815

Mailing Address2013 Teal CtHephzibah, GA 30815-7951 · (706) 790-4961

Phone(706) 790-4961

Sole ProprietorYes

Enumeration DateAugust 28, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1144747437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

2013 TEAL COURT, Hephzibah, GA 30815

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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 Willie Mae Pugh's NPI number?

The NPI number for Willie Mae Pugh is 1144747437. It was assigned to this individual provider in the NPPES registry on August 28, 2017.

Where is Willie Mae Pugh located?

Willie Mae Pugh practices at 2013 Teal Court, Hephzibah, GA 30815. The listed phone number is (706) 790-4961.

What is Willie Mae Pugh's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Willie Mae Pugh was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.