OCONEE COMMUNITY SERVICE BOARD
NPI 1174710008
Community/Behavioral Health in Sandersville, GA

Active since September 25, 2007
822 GOLDEN HAWK DR, SANDERSVILLE, GA 31082(478) 552-5215 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 24, 2021, Mar 2, 2020, Jun 21, 2018 (3 updates tracked since 2018).

About Oconee Community Service Board NPPES

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

OCONEE COMMUNITY SERVICE BOARD (NPI 1174710008) is a healthcare organization registered as a community/behavioral health in Sandersville, Georgia and active in the NPI registry since September 2007. The organization lists Shawanna Downing, Operations Director, as its authorized official.

NPPES Registry Identity

NPI1174710008
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameOCONEE COMMUNITY SERVICE BOARD
Location Address822 GOLDEN HAWK DRSandersville, GA 31082-7034
Mailing AddressPo Box 1827Milledgeville, GA 31059-1827 · (478) 445-4817
Organization SubpartNo
Authorized OfficialShawanna DowningOperations Director · (478) 445-4817
Enumeration DateSeptember 25, 2007
Last NPPES UpdateSeptember 26, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2023
✔ NPI 1174710008 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.
822 GOLDEN HAWK DR, Sandersville, GA 31082

Other Identifiers 2

Medicaid000604469IGA
Other00611223AGA · Rx Medicaid Provider Numb

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oconee Community Service Board is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Oconee Community Service Board, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1255094678
1239 ORCHARD HILL RD
Milledgeville, GA 31061
(478) 445-4721
✔ PECOS✔ Accepts Medicare26 mi
Pediatric Medicine
NPI 1477565463
1371 ORCHARD HILL RD
Milledgeville, GA 31061
(478) 445-5120
✔ PECOS26 mi
Psychiatry
NPI 1780144956
380 HOSPITAL DRIVE BUILDING A, SUITE 430
Macon, GA 31217
(478) 751-0367
✔ PECOS48 mi
Psychiatry
NPI 1710484969
340 HOSPITAL DR
Macon, GA 31217
(478) 219-7735
✔ PECOS48 mi
Nurse Practitioner
NPI 1205327764
1684 THORN RIDGE TRL
Hampton, GA 30228
(614) 599-3617
✔ PECOS✔ Accepts Medicare95 mi

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 Oconee Community Service Board's NPI number?

The NPI number for Oconee Community Service Board is 1174710008. It was assigned to this organization in the NPPES registry on September 25, 2007.

Where is Oconee Community Service Board located?

Oconee Community Service Board is located at 822 Golden Hawk Dr, Sandersville, GA 31082. The listed phone number is (478) 552-5215.

What is Oconee Community Service Board's specialty?

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

Is Oconee Community Service Board enrolled in Medicare?

Yes. Oconee Community Service Board is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oconee Community Service Board?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Oconee Community Service Board, in Nurse Practitioner, Pediatric Medicine and Psychiatry. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Oconee Community Service Board was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.