P Praxis·MD
● Active Type 2 · Organization

Southern Community Services Inc

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities·Douglas, GA· NPI 1417112707 · Enumerated 2008 · 17 years on NPI
Southern Community Services Inc is 1 of 300 community based residential treatment facility, intellectual and/or developmental disabilities organizations in Georgia.
NPI age
17 years
Enumerated 2008-07-25
Primary specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Moore
Manager
Last NPPES update
2008-07-25
Source: monthly bulk 2026-05

How this organization compares

Across 300 active community based residential treatment facility, intellectual and/or developmental disabilities providers in Georgia.

NPI age
17 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-07Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
315 S. Gaskin Ave
Douglas, GA 31533
📞 9123933466fax 9123931103
Mailing address
315 S. Gaskin Ave
Douglas, GA 31533
📞 9123933466fax 9123931103

Authorized official

Lisa Moore
Manager
📞 9123933466

Specialties

  • Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Primary
    A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
    GA license #034-01-019-8 taxonomy 320900000X

Identifiers

TypeValueNotes
05 (GA) 290464766A

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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