COMMUNITY MENTAL HEALTH CENTER OF MIDDLE GEORGIA
NPI 1689657637
Clinic/Center - Mental Health (Including Community Mental Health Center) in Dublin, GA

NPI Status: Active since November 23, 2005

Contact Information

2121A BELLEVUE RD
DUBLIN, GA
ZIP 31021
Phone: (478) 272-1190
Fax: (478) 274-7628

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...
  • Accepts Insurance

About COMMUNITY MENTAL HEALTH CENTER OF MIDDLE GEORGIA

This page provides the complete NPI Profile along with additional information for Community Mental Health Center Of Middle Georgia, a provider established in Dublin, Georgia operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1689657637 assigned on November 2005. The practitioner's primary taxonomy code is 261QM0801X with license number 007-R-0003 (GA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Community Mental Health Center Of Middle Georgia. The authorized official of this NPI record is Mr. Keith Moran (Chief Financial Officer)

NPI
1689657637
Provider Legal Name
COMMUNITY SERVICE BOARD OF MIDDLE GEORGIA
Other Organization Name
COMMUNITY MENTAL HEALTH CENTER OF MIDDLE GEORGIA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2121A BELLEVUE RD DUBLIN, GA 31021
Location Phone
(478) 272-1190
Location Fax
(478) 274-7628
Mailing Address
2121A BELLEVUE RD DUBLIN, GA 31021
Mailing Phone
(478) 272-1190
Mailing Fax
(478) 274-7628
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-23-2005
Last Update Date
01-12-2016
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Location Map

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

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities
License No.
007-R-0003
License State
GA

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

MR. KEITH MORAN

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(478) 272-1190

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
000606284HMEDICAID (05)GA 
GRP2130MEDICARE PIN (08)GA 
GRP2130MEDICARE UPIN (02)GA 
300030912AMEDICAID (05)GA 

Reviews for COMMUNITY MENTAL HEALTH CENTER OF MIDDLE GEORGIA

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1689657637
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261691251466
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 2 + 5 + 1 + 4 + 6 + 6 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1689657637 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548245970MRS. TAMMIE M LORD RN
Individual
Registered Nurse2121A BELLEVUE RD
DUBLIN, GA 31021
(478) 272-1190
1477538817MRS. CLARE UNDERWOOD BRYAN MED NCC LPC
Individual
Counselor2121A BELLEVUE RD
DUBLIN, GA 31021
(478) 272-1190
1912982356MS. DAWN ANGELIQUE LATTIMORE RN
Individual
Registered Nurse2121A BELLEVUE RD
DUBLIN, GA 31021
(478) 272-1190
1649255084MR. JEROME PAUL MEYERS LCSW
Individual
Social Worker2121A BELLEVUE RD
DUBLIN, GA 31021
(478) 272-1190
1366427700MRS. LISA VEAL MONTFORD LPC
Individual
Counselor (Professional)2121A BELLEVUE RD
DUBLIN, GA 31021
(478) 272-1190
1700861143MR. JAMES LEWIS VINSON LCSW
Individual
Social Worker (Clinical)2121A BELLEVUE RD
DUBLIN, GA 31021
(478) 272-1190
1437134871MR. GEORGE RICHARD TYSON MA
Individual
Counselor (Professional)2121A BELLEVUE RD
DUBLIN, GA 31021
(478) 272-1190
1245215698MRS. SARA ELIZABETH STANLEY LPN
Individual
Licensed Practical Nurse2121A BELLEVUE RD
DUBLIN, GA 31021
(478) 272-1190
1912982364 DONNA G FORTH RN
Individual
Registered Nurse2121A BELLEVUE RD
DUBLIN, GA 31021
(478) 272-1190
1821073271MS. MELINDA MICHELLE WILKES RN
Individual
Registered Nurse2121A BELLEVUE RD
DUBLIN, GA 31021
(478) 272-1190
1790760825MRS. PHYLLIS MARY MANN LPN
Individual
Licensed Practical Nurse2121A BELLEVUE RD
DUBLIN, GA 31021
(478) 272-1190
1972588010MRS. JANICE ROBERSON ANDERSON RN
Individual
Registered Nurse2121A BELLEVUE RD
DUBLIN, GA 31021
(478) 272-1190
1306821442 GEORGIA ANNA TOLBERT RN
Individual
Registered Nurse2121A BELLEVUE RD
DUBLIN, GA 31021
(478) 272-1190
1023093093MRS. JENNIFER HESTER FREEMAN LCSW
Individual
Social Worker (Clinical)2121A BELLEVUE RD
DUBLIN, GA 31021
(478) 272-1190
1821073891MRS. STEPHANIE WIGGINS MOORE RN
Individual
Registered Nurse (Psychiatric/Mental Health)2121A BELLEVUE RD
DUBLIN, GA 31021
(478) 272-1190
1538146543MS. DENISE N SMITH MS LPC
Individual
Counselor (Professional)2121A BELLEVUE RD
DUBLIN, GA 31021
(478) 272-1190
1194702118MRS. ANITA FOREMAN RN
Individual
Registered Nurse2121A BELLEVUE RD
DUBLIN, GA 31021
(478) 272-1190
1922085950MISS PATTY LYNN MICHEL LPN
Individual
Nurse Practitioner2121A BELLEVUE RD
DUBLIN, GA 31021
(478) 272-1190
1730166745MRS. VIRGINIA NEAL LPN
Individual
Licensed Practical Nurse2121A BELLEVUE RD
DUBLIN, GA 31021
(478) 272-1190
1023095056MS. BETTY ANN BOUTWELL LPN
Individual
Licensed Practical Nurse2121A BELLEVUE RD
DUBLIN, GA 31021
(478) 272-1190

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689657637, enumerated in the NPI registry as an "organization" on November 23, 2005

The provider is located at 2121a Bellevue Rd Dublin, Ga 31021 and the phone number is (478) 272-1190

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

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 23, 2005. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.