MCINTOSH TR MH MR SA CSB
NPI 1265610406
Community/Behavioral Health in Jackson, GA
About Mcintosh Tr Mh Mr Sa Csb NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MCINTOSH TR MH MR SA CSB (NPI 1265610406) is a healthcare organization registered as a community/behavioral health in Jackson, Georgia and active in the NPI registry since February 2008. The organization lists Shari Thomas, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mcintosh Tr Mh Mr Sa Csb is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
47Medicare enrollment records show 47 clinicians reassign Medicare billing to Mcintosh Tr Mh Mr Sa Csb, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 47Source: 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 Mcintosh Trail Community Service Board's NPI number?
The NPI number for Mcintosh Trail Community Service Board is 1265610406. It was assigned to this organization in the NPPES registry on February 8, 2008. The provider is also known as Mcintosh Tr Mh Mr Sa Csb.
Where is Mcintosh Trail Community Service Board located?
Mcintosh Trail Community Service Board is located at 463 Ernest Biles Dr Suite B, Jackson, GA 30233. The listed phone number is (770) 775-2676.
What is Mcintosh Trail Community Service Board's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Mcintosh Trail Community Service Board enrolled in Medicare?
Yes. Mcintosh Trail Community Service Board is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mcintosh Trail Community Service Board?
According to the CMS Revalidation Reassignment List (October 2026 release), 47 clinicians in 5 Medicare specialties reassign their Medicare billing to Mcintosh Trail Community Service Board. 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 (27), Mental Health Counselor (9) and Psychiatry (9). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mcintosh Trail Community Service Board was last updated on December 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mcintosh Tr Mh Mr Sa Csb · NPI 1265610406
Community/Behavioral Health organization in Jackson, Georgia. Organization record, active in the CMS NPPES registry since February 8, 2008.
## Identity
- **NPI:** 1265610406 (Entity type: Organization)
- **Enumerated:** February 8, 2008
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Legal business name:** Mcintosh Trail Community Service Board
- **Organization subpart:** No
- **Authorized official:** Shari Thomas, CFO
## Practice location
- **Address:** 463 ERNEST BILES DR, SUITE B, Jackson, GA 30233-2229
- **Phone:** (770) 775-2676
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 47 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (27), Mental Health Counselor (9), Psychiatry (9); [full list](https://npiprofile.com/npi/1265610406/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 17, 2015
- **Other identifiers:** Medicaid 000601609A (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1265610406) · Data from the CMS NPPES public registry.