NPI age
19 years
Enumerated 2006-12-14
● Active Type 2 · Organization
Georgia Department Of Human Resources
Georgia Department Of Human Resources is 1 of 35 intermediate care facility, intellectual disabilities organizations in Georgia.
Primary specialty
Intermediate Care Facility, Intellectual Disabilities
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jackson
Regional Hospital Administrator
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 35 active intermediate care facility, intellectual disabilities providers in Georgia.
NPI age
19 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
100 Myrtle Blvd
Gracewood, GA 308121500
Mailing address
100 Myrtle Blvd
Gracewood, GA 308121500
Authorized official
Gail C Jackson, M.D.
Regional Hospital Administrator
📞 7067902030
Individual providers at this organization
11 individual providers on file at this primary practice address.
- Kimberly Cole, D.M.D. Dentist NPI 1730349705
- Inoka Devapriya, MD General Practice NPI 1629463864
- John Helman, DMD Dentist NPI 1275600876
- Ronald Hyman, M.D. Psychiatry & Neurology NPI 1164523536
- Gail Jackson, M.D. Pediatrics NPI 1417165531
- Cynthia Kucela, RPH Pharmacist NPI 1427434273
- Terri Lawless, M.D. Pediatrics NPI 1235226986
- Eliza Myers, D.M.D. Dentist NPI 1962720664
- Sopheap Pin, PHARMD Pharmacist NPI 1104330398
- Martin Saumweber, M.D. Family Medicine NPI 1538256029
- Denise Smith, M.D. Pediatrics NPI 1083704712
Specialties
-
Intermediate Care Facility, Intellectual Disabilities PrimaryAn intermediate care facility providing services for individuals with intellectual disabilities.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00869206A |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
East Central Developmental System
Practice context
Multi-provider organization. 11 individual providers 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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