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GEORGIA PSYCHOLOGICAL SERVICES
NPI 1811044464
Community/Behavioral Health in Martinez, GA

Active since January 05, 2007
4139 COLUMBIA RD STE A, MARTINEZ, GA 30907(706) 210-3066(706) 210-8703 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Georgia Psychological Services NPPES

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

GEORGIA PSYCHOLOGICAL SERVICES (NPI 1811044464) is a healthcare organization registered as a community/behavioral health in Martinez, Georgia and active in the NPI registry since January 2007. The organization lists David Wayne Proefrock, Ceo, as its authorized official.

NPPES Registry Identity

NPI1811044464
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameGEORGIA PSYCHOLOGICAL SERVICES
Location Address4139 COLUMBIA RD STE AMartinez, GA 30907-5401
Mailing AddressPo Box 211626Augusta, GA 30917-1626 · (706) 210-3066 · Fax (706) 210-8703
Phone(706) 210-3066
Fax(706) 210-8703
Organization SubpartNo
Authorized OfficialDavid Wayne ProefrockCeo · (706) 210-3066
Enumeration DateJanuary 5, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1811044464 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.
4139 COLUMBIA RD STE A, Martinez, GA 30907
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Other Identifiers 1

Medicaid8840000796AGA

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 Georgia Psychological Services's NPI number?

The NPI number for Georgia Psychological Services is 1811044464. It was assigned to this organization in the NPPES registry on January 5, 2007.

Where is Georgia Psychological Services located?

Georgia Psychological Services is located at 4139 Columbia Rd Ste A, Martinez, GA 30907. The listed phone number is (706) 210-3066.

What is Georgia Psychological Services'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 Georgia Psychological Services 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 5 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.