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COMMUNITY MENTAL HEALTH CENTER OF MIDDLE GA
NPI 1508169400
Clinic/Center - Adult Mental Health in Dublin, GA

Active since December 15, 2010CLIA 11D0950830 · Waiver
2121-A BELLEVUE RD, DUBLIN, GA 31021(478) 272-1190(478) 275-6649 Get Directions Write a Review

NPPES record last updated: December 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Community Mental Health Center Of Middle Ga NPPES

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

COMMUNITY MENTAL HEALTH CENTER OF MIDDLE GA (NPI 1508169400) is a healthcare organization registered as an adult mental health in Dublin, Georgia and active in the NPI registry since December 2010. The organization holds a CLIA Waiver certificate valid through September 8, 2026 and lists Patsy H Thomas, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1508169400
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameCSB OF MIDDLE GEORGIA
Location Address2121-A BELLEVUE RDDublin, GA 31021-2998
Mailing Address2121a Bellevue RdDublin, GA 31021-2998 · (478) 272-1190 · Fax (478) 275-6649
Phone(478) 272-1190
Fax(478) 275-6649
Organization SubpartNo
Authorized OfficialPatsy H ThomasExecutive Director · (478) 272-1190
Enumeration DateDecember 15, 2010
✔ NPI 1508169400 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 · RN126651
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
2121-A BELLEVUE RD, Dublin, GA 31021
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Other Names 1

Doing Business AsCommunity Mental Health Center Of Middle Ga

Other Identifiers 2

Medicaid000606284HGA
Medicare PINGRP2130GA

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 11D0950830

Community Mental Health Center Of Middle Georgia · Dublin, GA
Active · expires Sep 8, 2026
CLIA Number11D0950830
Laboratory TypeOther
Certificate Effective DateSeptember 9, 2024
Certificate Expiration DateSeptember 8, 2026
Laboratory DirectorPatsy H. Thomas
Laboratory Phone(912) 272-1190
Laboratory LocationCommunity Mental Health Center Of Middle Georgia2121-A Bellevue Rd, Dublin, GA 31021
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 Csb Of Middle Georgia's NPI number?

The NPI number for Csb Of Middle Georgia is 1508169400. It was assigned to this organization in the NPPES registry on December 15, 2010. The provider is doing business as Community Mental Health Center Of Middle Ga.

Where is Csb Of Middle Georgia located?

Csb Of Middle Georgia is located at 2121-A Bellevue Rd, Dublin, GA 31021. The listed phone number is (478) 272-1190.

What is Csb Of Middle Georgia's specialty?

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

Does Csb Of Middle Georgia hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0950830) is associated with this NPI, valid through September 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Csb Of Middle Georgia was last updated on December 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.