NPI age
19 years
Enumerated 2006-11-17
● Active Type 2 · Organization
South Georgia Csb
South Georgia Csb is 1 of 89 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Powell
Chief Executive Officer
Last NPPES update
2010-03-17
Source: monthly bulk 2026-05
How this organization compares
Across 89 active clinic/center providers in Georgia.
NPI age
19 years
↑ 12 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
340 Tifton Eldorado Road
Tifton, GA 31794
Mailing address
340 Tifton Eldorado Road
Tifton, GA 31794
Authorized official
Charles R Powell
Chief Executive Officer
📞 2296716101
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 777050079A |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Tift C&A Outpatient Services
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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