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CENTRAL GA FAMILY THERAPY
NPI 1316788540
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Byron, GA

Active since June 03, 2024
100 HAMILTON POINTE DR, BYRON, GA 31008(478) 845-3520(478) 621-7233 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Central Ga Family Therapy NPPES

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

CENTRAL GA FAMILY THERAPY (NPI 1316788540) is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Byron, Georgia and active in the NPI registry since June 2024. The organization maintains a secondary practice location in Macon and lists Clarence Hicks, Owner, as its authorized official.

NPPES Registry Identity

NPI1316788540
Entity TypeOrganization
Primary Taxonomy261QR0401X
Legal Business NameCENTRAL GA FAMILY THERAPY
Location Address100 HAMILTON POINTE DRByron, GA 31008-6271
Mailing AddressPo Box 27393Macon, GA 31221-7393 · (478) 845-3520 · Fax (478) 621-7233
Phone(478) 845-3520
Fax(478) 621-7233
Organization SubpartNo
Authorized OfficialClarence HicksOwner · (478) 845-3520
Enumeration DateJune 3, 2024
NPPES CertifiedJune 3, 2024
✔ NPI 1316788540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
Taxonomy Code261QR0401X
100 HAMILTON POINTE DR, Byron, GA 31008
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Secondary Practice Location 1

Location 14671 Mercer University DrMacon, GA 31210-5611 · Phone (478) 845-3520 · Fax (478) 956-0958

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Central Ga Family Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Central Ga Family Therapy, which bills Medicare for the services this clinician delivers.

Clinician (1)

Miranda White, DPT
Physical Therapist in Private Practice
NPI 1386744233
1311A FULTON INDUSTRIAL BLVD NW STE 5
Atlanta, GA 30336
(678) 685-1386
✔ Accepts Medicare89 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 Central Ga Family Therapy's NPI number?

The NPI number for Central Ga Family Therapy is 1316788540. It was assigned to this organization in the NPPES registry on June 3, 2024.

Where is Central Ga Family Therapy located?

Central Ga Family Therapy is located at 100 Hamilton Pointe Dr, Byron, GA 31008. The listed phone number is (478) 845-3520.

What is Central Ga Family Therapy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.

Is Central Ga Family Therapy enrolled in Medicare?

Yes. Central Ga Family Therapy is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Central Ga Family Therapy?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Central Ga Family Therapy. 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 Central Ga Family Therapy was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.