DOUGLAS COUNTY COMMUNITY SERVICES BOARD
NPI 1720128879
Community/Behavioral Health in Douglasville, GA
About Douglas County Community Services Board NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOUGLAS COUNTY COMMUNITY SERVICES BOARD (NPI 1720128879) is a healthcare organization registered as a community/behavioral health in Douglasville, Georgia and active in the NPI registry since February 2007. The organization lists Tod Citron, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Douglas County Community Services Board is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Douglas County Community Services Board, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Douglas County Community Services Board's NPI number?
The NPI number for Douglas County Community Services Board is 1720128879. It was assigned to this organization in the NPPES registry on February 7, 2007.
Where is Douglas County Community Services Board located?
Douglas County Community Services Board is located at 5274 Big A Rd, Douglasville, GA 30135. The listed phone number is (770) 920-0717.
What is Douglas County Community Services Board's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Douglas County Community Services Board enrolled in Medicare?
Yes. Douglas County Community Services Board is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Douglas County Community Services Board?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Douglas County Community Services Board, in Certified Clinical Nurse Specialist (CNS), Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Douglas County Community Services Board accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Douglas County Community Services Board as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Douglas County Community Services Board was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Douglas County Community Services Board · NPI 1720128879
Community/Behavioral Health organization in Douglasville, Georgia. Organization record, active in the CMS NPPES registry since February 7, 2007.
## Identity
- **NPI:** 1720128879 (Entity type: Organization)
- **Enumerated:** February 7, 2007
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Tod Citron, CEO
## Practice location
- **Address:** 5274 BIG A RD, Douglasville, GA 30135-5308
- **Phone:** (770) 920-0717
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Psychiatry (2), Certified Clinical Nurse Specialist (CNS) (1), Nurse Practitioner (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1720128879) · Data from the CMS NPPES public registry.