GEORGIA BEHAVIORAL CAMPUS LLC
NPI 1770343584
Community Based Residential Treatment Facility, Mental Illness in Reynolds, GA
About Georgia Behavioral Campus Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GEORGIA BEHAVIORAL CAMPUS LLC (NPI 1770343584) is a healthcare organization registered as a community based residential treatment facility, mental illness in Reynolds, Georgia and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through May 10, 2027 and lists Amber Blacklock, Director Of Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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 11D2281771
Georgia Behavioral Campus LLC · Reynolds, GAFrequently 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 Georgia Behavioral Campus LLC's NPI number?
The NPI number for Georgia Behavioral Campus LLC is 1770343584. It was assigned to this organization in the NPPES registry on March 20, 2024.
Where is Georgia Behavioral Campus LLC located?
Georgia Behavioral Campus LLC is located at 211 Goose Hollow Rd Bldg I, Reynolds, GA 31076. The listed phone number is (678) 769-6594.
What is Georgia Behavioral Campus LLC's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
Does Georgia Behavioral Campus LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2281771) is associated with this NPI, valid through May 10, 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 Georgia Behavioral Campus LLC was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Georgia Behavioral Campus Llc · NPI 1770343584
Community Based Residential Treatment Facility, Mental Illness organization in Reynolds, Georgia. Organization record, active in the CMS NPPES registry since March 20, 2024.
## Identity
- **NPI:** 1770343584 (Entity type: Organization)
- **Enumerated:** March 20, 2024
- **Primary specialty:** Community Based Residential Treatment Facility, Mental Illness · taxonomy 320800000X
- **Organization subpart:** No
- **Authorized official:** Amber Blacklock, DIRECTOR OF FINANCE
## Practice location
- **Address:** 211 GOOSE HOLLOW RD BLDG I, Reynolds, GA 31076-3505
- **Phone:** (678) 769-6594
## Record status
- **NPPES last updated:** March 20, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1770343584) · Data from the CMS NPPES public registry.