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NPI 1104255256
● Active Type 2 · Organization
Community Service Board Of Middle Georgia
Community/Behavioral Health · Dublin, GA · NPI 1104255256
·
Enumerated 2013 · 12 years on NPI
Community Service Board Of Middle Georgia is 1 of 2449 community/behavioral health organizations in Georgia.
NPI age
12 years
Enumerated 2013-11-08
Primary specialty
Community/Behavioral Health
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Reid
Operations Analyst
Last NPPES update
2013-11-08
Source: monthly bulk 2026-05
How this organization compares
Across 2449 active community/behavioral health providers in Georgia.
NPI age
12 years
≈ at median (13 yr)
Practice locations
1
0 secondary on file
NPI lifetime · 2013 → 2026
2013-11 Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
2121a Bellevue Rd
Dublin, GA 310212998
📞 4782721190 fax 4782756649
Mailing address
2121a Bellevue Rd
Dublin, GA 310212998
📞 4782721190 fax 4782756649
Authorized official
Cynthia Reid
Operations Analyst
📞 4782721190
Individual providers at this organization
20 individual providers on file at this primary practice address.
Janice Anderson , RN
Registered Nurse
NPI 1972588010
Zenobia Andrews , RN
Registered Nurse
NPI 1952676223
Cynthia Bellflower , LPN
Licensed Practical Nurse
NPI 1689838336
Paulette Bennett , LPC
Counselor
NPI 1114904067
Jimmy Benson , RN
Registered Nurse
NPI 1750794343
Lasonnia Blunt , LPC
Counselor
NPI 1114347812
Betty Boutwell , LPN
Licensed Practical Nurse
NPI 1023095056
Debbie Boyd , LPN
Licensed Practical Nurse
NPI 1205113834
Pam Brantley , LPN
Licensed Practical Nurse
NPI 1598866089
Nellena Brooks , RN
Registered Nurse
NPI 1447486949
Angela Brown , LPN
Licensed Practical Nurse
NPI 1578832150
Judy Brown , RN
Registered Nurse
NPI 1437317468
Kimberly Brown , NP
Registered Nurse
NPI 1053589192
Tamika Brown , LPN
Licensed Practical Nurse
NPI 1780959056
Clare Bryan , MED NCC LPC
Counselor
NPI 1477538817
Britni Burch , LPN
Licensed Practical Nurse
NPI 1518398551
Yolanda Campbell , LPC
Counselor
NPI 1013201797
Phelisha Caraway , LPN
Licensed Practical Nurse
NPI 1770760274
Michael Carroll , PMHNP
Nurse Practitioner
NPI 1750197406
Eva Chapman , RN
Registered Nurse
NPI 1285973586
Specialties
Community/Behavioral Health
Primary
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...
GA license #084851 taxonomy 251S00000X
Identifiers
Type Value Notes
05 (GA)
300030912A
05 (GA)
1689657637
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.