GREATER GEORGIA BEHAVIORAL HEALTH
NPI 1568339554
Clinic/Center - Mental Health (Including Community Mental Health Center) in Fayetteville, GA
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About GREATER GEORGIA BEHAVIORAL HEALTH
This page provides the complete NPI Profile along with additional information for Greater Georgia Behavioral Health, a provider established in Fayetteville, Georgia operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1568339554 assigned on October 2025. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Matt Dinicola (Member)
- NPI
- 1568339554 Verify this NPI
- Provider Name
- GREATER GEORGIA BEHAVIORAL HEALTH
- Entity Type
- Organization
- Location Address
- 160 CARNEGIE PL FAYETTEVILLE, GA 30214
- Location Phone
- (470) 435-8028
- Mailing Address
- 1600 PROVIDENCE HWY STE 100 WALPOLE, MA 02081
- Mailing Phone
- (470) 435-8028
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-22-2025
- Last Update Date
- 12-15-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568339554, enumerated as an "organization" on October 22, 2025.
The provider is located at 160 CARNEGIE PL FAYETTEVILLE, GA 30214 and the phone number is (470) 435-8028.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
