NPI age
16 years
Enumerated 2010-01-15
● Active Type 2 · Organization
Department Of Behavioral Health And Developmental Disabilities
Department Of Behavioral Health And Developmental Disabilities is 1 of 321 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Brock
Regional Hospital Administrator
Last NPPES update
2015-05-20
Source: monthly bulk 2026-05
How this organization compares
Across 321 active pharmacy providers in Georgia.
NPI age
16 years
↑ 11 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-01Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
100 Myrtle Blvd
Gracewood, GA 308121500
Mailing address
100 Myrtle Blvd
Gracewood, GA 308121500
Authorized official
Paul Brock
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
-
Pharmacy PrimaryA pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1110395 | NCPDP |
| 05 (GA) | 000355737A |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
East Central Regional Hospital
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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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.