MCINTOSH TRAIL COMMUNITY SERVICE BOARD
NPI 1386708212
Community/Behavioral Health in Griffin, GA
About Mcintosh Trail Community Service Board NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MCINTOSH TRAIL COMMUNITY SERVICE BOARD (NPI 1386708212) is a healthcare organization registered as a community/behavioral health in Griffin, Georgia and active in the NPI registry since December 2006. The organization lists Kenyatta Denise Walker, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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 Trail Community Service Board 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 Trail Community Service Board, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. 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 1386708212. It was assigned to this organization in the NPPES registry on December 22, 2006.
Where is Mcintosh Trail Community Service Board located?
Mcintosh Trail Community Service Board is located at 122 S 13th St, Griffin, GA 30223. The listed phone number is (770) 358-5252.
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). Of these, 10 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mcintosh Trail Community Service Board accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mcintosh Trail Community Service Board as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mcintosh Trail Community Service Board was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Mcintosh Trail Community Service Board · NPI 1386708212
Community/Behavioral Health organization in Griffin, Georgia. Organization record, active in the CMS NPPES registry since December 22, 2006.
## Identity
- **NPI:** 1386708212 (Entity type: Organization)
- **Enumerated:** December 22, 2006
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Kenyatta Walker, CEO
## Practice location
- **Address:** 122 S 13TH ST, Griffin, GA 30223
- **Phone:** (770) 358-5252 · **Fax:** (770) 229-3223
## 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); 10 practice within 10 miles; [full list](https://npiprofile.com/npi/1386708212/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1386708212) · Data from the CMS NPPES public registry.