NPI age
— years
Enumerated 2025-10-22
● Active Type 2 · Organization
Greater Georgia Behavioral Health
Greater Georgia Behavioral Health is 1 of 662 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dinicola
Member
Last NPPES update
2025-12-15
Source: monthly bulk 2026-05
How this organization compares
Across 662 active clinic/center providers in Georgia.
NPI age
0 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 18% of peers with subspecialties
NPI lifetime · 2025 → 2026
2025-10Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
160 Carnegie Pl
Fayetteville, GA 302143905
Mailing address
1600 Providence Hwy Ste 100
Walpole, MA 020812557
Authorized official
Matt Dinicola
Member
📞 7814720247
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Demetria Woodruff, PMHNP Nurse Practitioner NPI 1679464523
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Substance Abuse Rehabilitation FacilityA facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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