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ANCHORED MINDS BEHAVIORAL HEALTH LLC
NPI 1235015579
Nurse Practitioner - Psychiatric/Mental Health in Vidalia, GA

Active since August 13, 2025CLIA 11D2343287 · Waiver
121 CHURCH ST, VIDALIA, GA 30474(912) 805-2705 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2025, Aug 13, 2025 (2 updates tracked since 2025).

About Anchored Minds Behavioral Health Llc NPPES

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

ANCHORED MINDS BEHAVIORAL HEALTH LLC (NPI 1235015579) is a healthcare organization registered as a psychiatric/mental health in Vidalia, Georgia and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through May 4, 2028 and lists James Campbell, Owner, as its authorized official.

NPPES Registry Identity

NPI1235015579
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameANCHORED MINDS BEHAVIORAL HEALTH LLC
Location Address121 CHURCH STVidalia, GA 30474-4752
Mailing Address121 Church StVidalia, GA 30474-4752 · (912) 805-2705
Phone(912) 805-2705
Organization SubpartNo
Authorized OfficialJames CampbellOwner · (912) 805-2705
Enumeration DateAugust 13, 2025
Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
✔ NPI 1235015579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
121 CHURCH ST, Vidalia, GA 30474
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2343287

Anchored Minds Behavioral Health LLC · Vidalia, GA
Active · expires May 4, 2028
CLIA Number11D2343287
Laboratory TypePractitioner Other
Certificate Effective DateMay 5, 2026
Certificate Expiration DateMay 4, 2028
Laboratory DirectorJames W. Campbell III
Laboratory Phone(912) 805-2705
Laboratory LocationAnchored Minds Behavioral Health LLC121 Church Street, Vidalia, GA 30474
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MR. JAMES WILLIAM CAMPBELL III FNP-C
Nurse Practitioner (Psychiatric/Mental Health)
121 CHURCH ST
VIDALIA, GA 30474
Toombs County (912) 805-2705

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 Anchored Minds Behavioral Health LLC's NPI number?

The NPI number for Anchored Minds Behavioral Health LLC is 1235015579. It was assigned to this organization in the NPPES registry on August 13, 2025.

Where is Anchored Minds Behavioral Health LLC located?

Anchored Minds Behavioral Health LLC is located at 121 Church St, Vidalia, GA 30474. The listed phone number is (912) 805-2705.

What is Anchored Minds Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does Anchored Minds Behavioral Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2343287) is associated with this NPI, valid through May 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Anchored Minds Behavioral Health LLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.