P Praxis·MD
● Active Type 2 · Organization

South Georgia Community Service Board

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities·Valdosta, GA· NPI 1619421138 · Enumerated 2016 · 9 years on NPI
South Georgia Community Service Board is 1 of 300 community based residential treatment facility, intellectual and/or developmental disabilities organizations in Georgia.
NPI age
9 years
Enumerated 2016-08-12
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
Patel
Ceo
Last NPPES update
2016-09-12
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
9 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2016 → 2026

2016-08Enumerated in NPPES
2016 2026

Where they practice

Primary practice location
1308 W Park Ave
Valdosta, GA 316022722
📞 2296716100fax 2296716774
Mailing address
3120 N Oak Street Ext Ste C
Valdosta, GA 316025910
📞 2296716125fax 2296716774

Authorized official

Jaymal Patel, MD
Ceo
📞 2296716140

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.
    taxonomy 320900000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA
    Type code 3 recorded 2016-08-12

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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