MCRAE CLINIC
NPI 1912030008
Community/Behavioral Health in Mcrae, GA

Q: 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.

Active since March 14, 2007

410 LAKESIDE DRIVE, MCRAE, GA 31055(478) 272-1190(478) 274-7628 Get Directions Write a Review

NPPES record last updated: July 16, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mcrae Clinic NPPES

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

MCRAE CLINIC (NPI 1912030008) is a healthcare organization registered as a community/behavioral health in Mcrae, Georgia and active in the NPI registry since March 2007. The organization lists Robert Keith Moran, Cfo, as its authorized official.

NPPES Registry Identity

NPI1912030008

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCOMMUNITY SERVICE BOARD OF MIDDLE GEORGIA

Location Address410 LAKESIDE DRIVEMcrae, GA 31055

Mailing Address2121a Bellevue RdDublin, GA 31021-2998 · (478) 272-1190 · Fax (478) 274-7628

Phone(478) 272-1190

Fax(478) 274-7628

Organization SubpartNo

Authorized OfficialRobert Keith MoranCfo · (478) 272-1190

Enumeration DateMarch 14, 2007

Last NPPES UpdateJuly 16, 2015

✔ NPI 1912030008 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.

410 LAKESIDE DRIVE, Mcrae, GA 31055

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Other Names 1

Doing Business AsMcrae Clinic

Other Identifiers 3

Medicaid300030912AGA

Medicaid000606284LGA

Medicare UPINGRP2130GA

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 1912030008. It was assigned to this organization in the NPPES registry on March 14, 2007. The provider is doing business as Mcrae Clinic.

Where is Community Service Board Of Middle Georgia located?

Community Service Board Of Middle Georgia is located at 410 Lakeside Drive, Mcrae, GA 31055. The listed phone number is (478) 272-1190.

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 July 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.