MEDICARE: GEORGIA PINES COMMUNITY SERVICE BOARD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1972943389
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEORGIA PINES COMMUNITY SERVICE BOARD

Provider Business Mailing Address
First Line	:	1102 SMITH AVE
Second Line	:
City	:	THOMASVILLE
State	:	GA
Zip	:	31792-5739
Country	:	US
Telephone Number	:	229-225-4335
Fax Number	:	229-225-4374

Provider Business Practice Location Address
First Line	:	3120 N OAK STREET EXT
Second Line	:	SUITE B
City	:	VALDOSTA
State	:	GA
Zip	:	31602-5909
Country	:	US
Telephone Number	:	229-225-4335
Fax Number	:	229-225-4374

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	ROBERT H JONES
Credential	:
Telephone Number	:	229-225-4373

Provider Enumeration Date	:	06/29/2013
Last Update Date	:	06/29/2013

Similar Medicare Providers

1447213277 — YOLLA JULES M.D.
Practice Location Address:

3120 N OAK STREET EXT , BEHAVIORAL HEALTH SERVICES OF SOUTH GA
VALDOSTA, GA
31602-5909

Practice Phone: 229-671-6170
Practice Fax: 229-671-6779

1881734333 — BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA
Practice Location Address:

3120 N OAK STREET EXT
VALDOSTA, GA
31602-5909

Practice Phone: 229-671-6100
Practice Fax:

1124200415 — MS. SHERRY B HURWITZ LMFT
Practice Location Address:

3120 N OAK STREET EXT , SUITE C
VALDOSTA, GA
31602-5909

Practice Phone: 229-671-6140
Practice Fax: 229-671-6740

1578007704 — MR. VINSON LEE LMFT
Practice Location Address:

3120 N OAK STREET EXT
VALDOSTA, GA
31602-5909

Practice Phone: 229-671-6170
Practice Fax: 229-671-6761

1790229938 — NANCY RACHEL ALBRITTON LCSW
Practice Location Address:

3120 N OAK STREET EXT
VALDOSTA, GA
31602-5909

Practice Phone: 229-671-6162
Practice Fax: 229-671-6750

1508679622 — LINDSAY BROOKE THOMAS
Practice Location Address:

3120 N OAK STREET EXT
VALDOSTA, GA
31602-5909

Practice Phone: 229-671-6170
Practice Fax:

Directions to “GEORGIA PINES COMMUNITY SERVICE BOARD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.