COMMUNITY SERVICE BOARD OF MIDDLE GEORGIA
NPI 1649791864
Community/Behavioral Health in Sylvania, GA

Active since June 28, 2017
109 CHERRY ST, SYLVANIA, GA 30467(912) 564-7222(912) 564-7951 Get Directions Write a Review

NPPES record last updated: June 28, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Community Service Board Of Middle Georgia NPPES

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

COMMUNITY SERVICE BOARD OF MIDDLE GEORGIA (NPI 1649791864) is a healthcare organization registered as a community/behavioral health in Sylvania, Georgia and active in the NPI registry since June 2017. The organization lists Keith Moran, Cfo, as its authorized official.

NPPES Registry Identity

NPI1649791864
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCOMMUNITY SERVICE BOARD OF MIDDLE GEORGIA
Location Address109 CHERRY STSylvania, GA 30467-6405
Mailing Address223 N Anderson DrSwainsboro, GA 30401-4440 · (478) 289-2683 · Fax (478) 289-2798
Fax(912) 564-7951
Organization SubpartNo
Authorized OfficialKeith MoranCfo · (478) 275-6811
Enumeration DateJune 28, 2017
NPI 1649791864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
109 CHERRY ST, Sylvania, GA 30467

Other Identifiers 1

Medicaid000709288GGA

Other Providers at the Same Location NPPES 3

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

Community/Behavioral Health
109 CHERRY ST
SYLVANIA, GA 30467
Community/Behavioral Health
109 CHERRY ST
SYLVANIA, GA 30467
Community/Behavioral Health
109 CHERRY ST
SYLVANIA, GA 30467

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 Community Service Board Of Middle Georgia's NPI number?

The NPI number for Community Service Board Of Middle Georgia is 1649791864. It was assigned to this organization in the NPPES registry on June 28, 2017.

Where is Community Service Board Of Middle Georgia located?

Community Service Board Of Middle Georgia is located at 109 Cherry St, Sylvania, GA 30467. The listed phone number is (912) 564-7222.

What is Community Service Board Of Middle Georgia's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Community Service Board Of Middle Georgia was last updated on June 28, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.