TIFT C&A OUTPATIENT SERVICES
NPI 1942374343
Clinic/Center - Adolescent and Children Mental Health in Tifton, GA

Active since November 17, 2006
340 TIFTON ELDORADO ROAD, TIFTON, GA 31794(229) 391-2350(229) 386-7099 Get Directions Write a Review

NPPES record last updated: March 17, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tift C&a Outpatient Services NPPES

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

TIFT C&A OUTPATIENT SERVICES (NPI 1942374343) is a healthcare organization registered as an adolescent and children mental health in Tifton, Georgia and active in the NPI registry since November 2006. The organization lists Charles R Powell, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1942374343
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameSOUTH GEORGIA CSB
Location Address340 TIFTON ELDORADO ROADTifton, GA 31794
Mailing Address340 Tifton Eldorado RoadTifton, GA 31794 · (229) 391-2350 · Fax (229) 386-7099
Fax(229) 386-7099
Organization SubpartNo
Authorized OfficialCharles R PowellChief Executive Officer · (229) 671-6101
Enumeration DateNovember 17, 2006
Last NPPES UpdateMarch 17, 2010
NPI 1942374343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
340 TIFTON ELDORADO ROAD, Tifton, GA 31794

Other Names 1

Doing Business AsTift C&a Outpatient Services

Other Identifiers 2

Medicare ID-Type UnspecifiedGRP2255GA
Medicaid777050079AGA

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 South Georgia Csb's NPI number?

The NPI number for South Georgia Csb is 1942374343. It was assigned to this organization in the NPPES registry on November 17, 2006. The provider is doing business as Tift C&a Outpatient Services.

Where is South Georgia Csb located?

South Georgia Csb is located at 340 Tifton Eldorado Road, Tifton, GA 31794. The listed phone number is (229) 391-2350.

What is South Georgia Csb's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for South Georgia Csb was last updated on March 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.