WILLOW OAK COMMUNITY BEHAVIORAL HEALTH CENTER
NPI 1881131860
Community/Behavioral Health in Newnan, GA

Active since January 27, 2017CLIA 11D2128353 · Waiver
55 JEFFERSON PKWY # 55B, NEWNAN, GA 30263(770) 683-6946(770) 683-6949 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 18, 2026, Nov 16, 2023, Apr 5, 2022 and 3 more (6 updates tracked since 2017).

About Willow Oak Community Behavioral Health Center NPPES

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

WILLOW OAK COMMUNITY BEHAVIORAL HEALTH CENTER (NPI 1881131860), doing business as Willow Oak Center, is a healthcare organization registered as a community/behavioral health in Newnan, Georgia and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through March 28, 2027 and lists Diane Boulai, Ceo/ Owner, as its authorized official.

NPPES Registry Identity

NPI1881131860
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameWILLOW OAK COMMUNITY BEHAVIORAL HEALTH CENTER
Location Address55 JEFFERSON PKWY # 55BNewnan, GA 30263-5813
Mailing Address361 Cliffhaven CirNewnan, GA 30263-6358 · (678) 477-3476 · Fax (770) 683-6949
Fax(770) 683-6949
Organization SubpartNo
Authorized OfficialDiane BoulaiCeo/ Owner · (678) 477-3476
Enumeration DateJanuary 27, 2017
Last NPPES UpdateMarch 18, 20266 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
✔ NPI 1881131860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedIntegrative MedicineTaxonomy 202D00000X
55 JEFFERSON PKWY # 55B, Newnan, GA 30263

Other Names 1

Doing Business AsWillow Oak Center

Other Identifiers 1

Medicaid003218948AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Willow Oak Community Behavioral Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Willow Oak Community Behavioral Health Center, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner5
Clinical Social Worker4
Psychiatry4

Clinicians, nearest first (13)

Psychiatry
NPI 1851547608
110 SWILCAN DR
Fayetteville, GA 30215
(205) 732-5837
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1477189157
105 EMERALD LAKE CT
Fayetteville, GA 30215
(404) 513-2868
✔ PECOS20 mi
Nurse Practitioner
NPI 1194366567
3119 FONSECA PASS
Atlanta, GA 30349
(513) 200-8001
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1003597642
6716 BROOKFIELD WAY
Douglasville, GA 30134
(404) 671-6418
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1922453117
5401 BOREAL WAY SW
Atlanta, GA 30331
(470) 429-1431
✔ PECOS23 mi
Psychiatry
NPI 1710918933
250 CORPORATE CENTER CT
Stockbridge, GA 30281
(678) 619-0280
✔ PECOS✔ Accepts Medicare33 mi
Nurse Practitioner
NPI 1073255857
418 CARRINGTON RDG
Stockbridge, GA 30281
(678) 988-6835
✔ PECOS34 mi
Clinical Social Worker
NPI 1851624993
1700 CLAIRMONT RD
Decatur, GA 30033
(404) 321-6111
✔ PECOS✔ Accepts Medicare39 mi
Clinical Social Worker
NPI 1265961205
6624 JIMMY CARTER BLVD STE A
Peachtree Corners, GA 30071
(404) 900-5450
✔ PECOS48 mi
Clinical Social Worker
NPI 1811271737
2047 GEES MILL RD NE STE 228
Conyers, GA 30013
(678) 561-3303
✔ PECOS49 mi
Psychiatry
NPI 1770566341
200 WISTERIA DR
Gainesville, GA 30501
(770) 219-5407
✔ PECOS✔ Accepts Medicare83 mi
Psychiatry
NPI 1659367951
3599 UNIVERSITY BLVD S STE 1200
Jacksonville, FL 32216
(833) 443-8700
✔ PECOS✔ Accepts Medicare284 mi
Clinical Social Worker
NPI 1437650025
505 HAMPTON PARK BLVD STE Q
Capitol Heights, MD 20743
(585) 333-0299
✔ PECOS582 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 11D2128353

Willow Oak Community Behavioral Health Center, Inc · Newnan, GA
Active · expires Mar 28, 2027
CLIA Number11D2128353
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorDiane Boulai
Laboratory Phone(770) 683-6946
Laboratory LocationWillow Oak Community Behavioral Health Center, Inc55 Jefferson Parkway, Newnan, GA 30263
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Willow Oak Community Behavioral Health Center's NPI number?

The NPI number for Willow Oak Community Behavioral Health Center is 1881131860. It was assigned to this organization in the NPPES registry on January 27, 2017. The provider is doing business as Willow Oak Center.

Where is Willow Oak Community Behavioral Health Center located?

Willow Oak Community Behavioral Health Center is located at 55 Jefferson Pkwy # 55B, Newnan, GA 30263. The listed phone number is (770) 683-6946.

What is Willow Oak Community Behavioral Health Center's specialty?

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

Is Willow Oak Community Behavioral Health Center enrolled in Medicare?

Yes. Willow Oak Community Behavioral Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Willow Oak Community Behavioral Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Willow Oak Community Behavioral Health Center. 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. The largest specialties are Nurse Practitioner (5), Clinical Social Worker (4) and Psychiatry (4). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Willow Oak Community Behavioral Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2128353) is associated with this NPI, valid through March 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Willow Oak Community Behavioral Health Center accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Willow Oak Community Behavioral Health Center 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 Willow Oak Community Behavioral Health Center was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.