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NPI 1609024157
● Active Type 2 · Organization
Subpart
Clayton Community Mental Health Substance Ab
Clinic/Center · Jonesboro, GA · NPI 1609024157
·
Enumerated 2008 · 17 years on NPI
Clayton Community Mental Health Substance Ab is 1 of 662 clinic/center organizations in Georgia.
NPI age
17 years
Enumerated 2008-09-08
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gant
Cfo
Last NPPES update
2011-03-04
Source: monthly bulk 2026-05
How this organization compares
Across 662 active clinic/center providers in Georgia.
NPI age
17 years
↑ 12 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 18% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-09 Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
853 Battlecreek Rd
Jonesboro, GA 302361919
📞 7704781099 fax 7704788722
Mailing address
112 Broad St
Jonesboro, GA 302363563
📞 7704782280 fax 7704788722
Authorized official
Marketeia Gant
Cfo
📞 7706051126
Individual providers at this organization
20 individual providers on file at this primary practice address.
Theon Adkison
Registered Nurse
NPI 1568841476
Cachet Berry , AMFT
Marriage & Family Therapist
NPI 1235542564
Carolyn Blackmore , RN
Registered Nurse
NPI 1538432489
Joy Boyce , LPC
Counselor
NPI 1700338472
Shawn Coleman
Counselor
NPI 1457810095
Natasha Daniels
Counselor
NPI 1679981112
Halane Dean-Kendrick , LPC
Counselor
NPI 1740423649
Keshia Faulk , RN
Registered Nurse
NPI 1629416052
Mayme Fisher , RN
Registered Nurse
NPI 1861857351
Dorothy Fondi , MS, LPC, CPCS, MAC
Counselor
NPI 1255873709
Debra Glasper , LPC
Counselor
NPI 1285876268
Lynda Guyton
Counselor
NPI 1427314897
Caryn Haire
Counselor
NPI 1871045187
Pamelyn Harris , LAPC
Counselor
NPI 1538302427
Witni Jackson
Social Worker
NPI 1083028112
Lanell Johnson
Counselor
NPI 1538524293
Lisa Jordan , R.N.
Registered Nurse
NPI 1134421415
Michelle Maples , RN
Registered Nurse
NPI 1386924512
Chloe Perkins
Registered Nurse
NPI 1912614397
Raphel Rice
Clinic/Center
NPI 1396303731
Specialties
Clinic/Center
Primary
Definition to come...
taxonomy 261QM0801X
Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
taxonomy 261QM0850X
Identifiers
Type Value Notes
05 (GA)
00604205E
01 (GA)
GRP2322
MEDICARE
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.
Subpart of Clayton Community Mental Health Substance Abuse Deve Svcs Board .
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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.