NPI age
16 years
Enumerated 2010-04-15
● Active Type 2 · Organization
Subpart
Bobby Bennett Host Home
Bobby Bennett Host Home is 1 of 300 community based residential treatment facility, intellectual and/or developmental disabilities organizations in Georgia.
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
Thomas
Ceo
Last NPPES update
2010-04-15
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
16 years
≈ at median (15 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-04Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
1007 Mary St
Waycross, GA 315033823
Mailing address
4156 White Tail Way
Blackshear, GA 315165204
Authorized official
Glynn Thomas, PHD
Ceo
📞 9124497103
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Shauntile Anderson, NP Nurse Practitioner NPI 1316640238
- Lionel Bryan, MD Psychiatry & Neurology NPI 1447396890
- Misty Burchette Counselor NPI 1003151861
- Janett Carter, LMSW Social Worker NPI 1972649374
- Jessica Clark, APRN Nurse Practitioner NPI 1417412917
- Tracy Crews Counselor NPI 1821333683
- Sandra Daniels, LPN Licensed Practical Nurse NPI 1215166558
- Earnie Deen, RN Registered Nurse NPI 1285867911
- Robin Denison, LPN Licensed Practical Nurse NPI 1124251772
- Jacqueline Dunnom, LPN Licensed Practical Nurse NPI 1063644128
- Tammy Flannery, RN Registered Nurse NPI 1417189580
- Roger Gillis, LPC Counselor NPI 1629800255
- Harry Grace, LPN Licensed Practical Nurse NPI 1598997660
- Melissa Guthrie-Thomas, LCSW Social Worker NPI 1578864997
- Maggie Harrell, RN Registered Nurse NPI 1891927919
- Tiffany Henderson, LCSW Social Worker NPI 1538581731
- Fady Henein, MD Psychiatry & Neurology NPI 1265788079
- Natasha Herrin, LSCSW Social Worker NPI 1093299356
- Lee Hutto, LMSW Counselor NPI 1437400827
- Dasha Johns, LPN Licensed Practical Nurse NPI 1437473105
Specialties
-
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities PrimaryA home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Satilla Community Services
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
Subpart of Satilla Community Services.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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