PINELAND MHMRSA
NPI 1588735252
Community/Behavioral Health in Statesboro, GA

NPI Status: Active since November 13, 2006

Contact Information

5 W ALTMAN ST
STATESBORO, GA
ZIP 30458
Phone: (912) 764-6906
Fax: (912) 764-6466

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  • Organization
  • Community/Behavioral Health
  • Accepts Insurance

About PINELAND MHMRSA

This page provides the complete NPI Profile along with additional information for Pineland Mhmrsa, a provider established in Statesboro, Georgia operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1588735252 assigned on November 2006. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is June A. Dipolito (Executive Director)

NPI
1588735252
Provider Name
PINELAND MHMRSA
Entity Type
Organization
Location Address
5 W ALTMAN ST STATESBORO, GA 30458
Location Phone
(912) 764-6906
Location Fax
(912) 764-6466
Mailing Address
PO BOX 745 5 WEST ALTMAN STREET STATESBORO, GA 30459
Mailing Phone
(912) 764-6906
Mailing Fax
(912) 764-6466
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-13-2006
Last Update Date
09-18-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Complete Silver with Atrium Health - HMO
  • Complete Silver with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JUNE A. DIPOLITO

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(912) 764-6906

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GRP2277MEDICARE ID-TYPE UNSPECIFIED (04)GAAGENCY GROUP NUMBER

Reviews for PINELAND MHMRSA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1588735252
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2516814310210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 1 + 4 + 3 + 1 + 0 + 2 + 1 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1588735252 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1700914611DR. CYNTHIA ANN CONE-DEKLE PH.D.
Individual
Psychologist (Clinical)5 W ALTMAN ST
STATESBORO, GA 30458
(912) 764-6906
1053570762PINELAND CSB
Organization
Substance Abuse Rehabilitation Facility5 W ALTMAN ST
STATESBORO, GA 30458
(912) 764-9015
1235363581 SWAROOP M REDDY M.D.
Individual
Pediatrics5 W ALTMAN ST
STATESBORO, GA 30458
(912) 764-6906
1427279710PINELAND CSB
Organization
Point of Service5 W ALTMAN ST
STATESBORO, GA 30458
(912) 557-6795

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588735252, enumerated in the NPI registry as an "organization" on November 13, 2006

The provider is located at 5 W Altman St Statesboro, Ga 30458 and the phone number is (912) 764-6906

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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