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CLAYTON CENTER COMMUNITY SERVICE BOARD
NPI 1437451127
Clinic/Center - Adult Mental Health in Jonesboro, GA

Active since December 01, 2010CLIA 11D1097750 · Waiver
853 BATTLECREEK RD, JONESBORO, GA 30236(770) 478-1099(770) 478-8722 Get Directions Write a Review

NPPES record last updated: December 1, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clayton Center Community Service Board NPPES

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

CLAYTON CENTER COMMUNITY SERVICE BOARD (NPI 1437451127) is a healthcare organization registered as an adult mental health in Jonesboro, Georgia and active in the NPI registry since December 2010. The organization holds a CLIA Waiver certificate valid through April 1, 2027 and lists Juliette Mcgaha, Staff Nurse, as its authorized official.

NPPES Registry Identity

NPI1437451127
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameCLAYTON CENTER COMMUNITY SERVICE BOARD
Location Address853 BATTLECREEK RDJonesboro, GA 30236-1919
Mailing Address853 Battlecreek RoadJonesboro, GA 30236 · (770) 478-1099 · Fax (770) 478-8722
Phone(770) 478-1099
Fax(770) 478-8722
Organization SubpartNo
Authorized OfficialJuliette McgahaStaff Nurse · (770) 478-1099
Enumeration DateDecember 1, 2010
✔ NPI 1437451127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in GA · RN092487
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

853 BATTLECREEK RD, Jonesboro, GA 30236
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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 11D1097750

Clayton Center Community Service Board · Jonesboro, GA
Active · expires Apr 1, 2027
CLIA Number11D1097750
Laboratory TypeOther
Certificate Effective DateApril 2, 2025
Certificate Expiration DateApril 1, 2027
Laboratory DirectorDr. Lee Adams
Laboratory Phone(770) 478-1099
Laboratory LocationClayton Center Community Service Board853 Battlecreek Road, Jonesboro, GA 30236
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 20

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

ARZINYA SMITH
Registered Nurse
853 BATTLECREEK RD
JONESBORO, GA 30236
Clayton County (770) 478-2280
WITNI JACKSON
Social Worker (Clinical)
853 BATTLECREEK RD
JONESBORO, GA 30236
Clayton County (770) 478-1099
LISA DENISE JORDAN R.N.
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
853 BATTLECREEK RD
JONESBORO, GA 30236
Clayton County (770) 478-1099
CACHET BERRY AMFT
Marriage & Family Therapist
853 BATTLECREEK RD
JONESBORO, GA 30236
Clayton County (770) 900-7896
DOROTHY A. FONDI MS, LPC, CPCS, MAC
Counselor (Professional)
853 BATTLECREEK RD
JONESBORO, GA 30236
Clayton County (770) 473-2620
DEBRA WRIGHT GLASPER LPC
Counselor (Professional)
853 BATTLECREEK RD
JONESBORO, GA 30236
Clayton County (770) 478-1099
BRENDA LEE STINSON LPC
Counselor (Professional)
853 BATTLECREEK RD
JONESBORO, GA 30236
Clayton County (770) 478-1099
MS. MICHELLE MAPLES RN
Registered Nurse (Psychiatric/Mental Health, Adult)
853 BATTLECREEK RD
JONESBORO, GA 30236
Clayton County (770) 478-1099

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 Clayton Center Community Service Board's NPI number?

The NPI number for Clayton Center Community Service Board is 1437451127. It was assigned to this organization in the NPPES registry on December 1, 2010.

Where is Clayton Center Community Service Board located?

Clayton Center Community Service Board is located at 853 Battlecreek Rd, Jonesboro, GA 30236. The listed phone number is (770) 478-1099.

What is Clayton Center Community Service Board's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Does Clayton Center Community Service Board hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1097750) is associated with this NPI, valid through April 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clayton Center Community Service Board was last updated on December 1, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.