1. Home
  2. Directory
  3. Georgia
  4. Douglas
  5. Community Based Residential Treatment Facility Intellectual And Or Developmental Disabilities
  6. NPI Profile

SOUTHERN COMMUNITY SERVICES INC
NPI 1417112707
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Douglas, GA

Active since July 25, 2008
315 S. GASKIN AVE, DOUGLAS, GA 31533(912) 393-3466(912) 393-1103 Get Directions Write a Review

NPPES record last updated: July 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Community Services Inc NPPES

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

SOUTHERN COMMUNITY SERVICES INC (NPI 1417112707) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Douglas, Georgia and active in the NPI registry since July 2008. The organization lists Lisa Moore, Manager, as its authorized official.

NPPES Registry Identity

NPI1417112707
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameSOUTHERN COMMUNITY SERVICES INC
Location Address315 S. GASKIN AVEDouglas, GA 31533
Mailing Address315 S. Gaskin AveDouglas, GA 31533 · (912) 393-3466 · Fax (912) 393-1103
Phone(912) 393-3466
Fax(912) 393-1103
Organization SubpartNo
Authorized OfficialLisa MooreManager · (912) 393-3466
Enumeration DateJuly 25, 2008
✔ NPI 1417112707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in GA · 034-01-019-8
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
315 S. GASKIN AVE, Douglas, GA 31533
Open in Google Maps ↗

Other Identifiers 1

Medicaid290464766AGA

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 Southern Community Services Inc's NPI number?

The NPI number for Southern Community Services Inc is 1417112707. It was assigned to this organization in the NPPES registry on July 25, 2008.

Where is Southern Community Services Inc located?

Southern Community Services Inc is located at 315 S. Gaskin Ave, Douglas, GA 31533. The listed phone number is (912) 393-3466.

What is Southern Community Services Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Southern Community Services Inc was last updated on July 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.