| Clayton Center Csb | |
|
157 Smith St Jonesboro GA 30236-3546 | |
| (770) 478-2280 | |
| (770) 477-9772 |
| Full Name | Clayton Center Csb |
|---|---|
| Speciality | Clinic/Center |
| Location | 157 Smith St, Jonesboro, Georgia |
| Authorized Official Name and Position | Aundria Cheever (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7704782280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clayton Center Csb 157 Smith St Jonesboro GA 30236-3546 Ph: (770) 478-2280 | Clayton Center Csb 157 Smith St Jonesboro GA 30236-3546 Ph: (770) 478-2280 |
| NPI Number | 1518932078 |
|---|---|
| Provider Enumeration Date | 02/20/2006 |
| Last Update Date | 06/04/2013 |
| Medicare PECOS PAC ID | 3476540543 |
|---|---|
| Medicare Enrollment ID | O20040429000779 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518932078 | NPI | - | NPPES |
| 00606922AB | Medicaid | GA |
| Provider Name | Shahzad M Hashmi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770566341 PECOS PAC ID: 0244207595 Enrollment ID: I20040915000673 |
| Provider Name | Ramesh N Amin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427037514 PECOS PAC ID: 1052506227 Enrollment ID: I20101112001046 |
| Provider Name | Rena Castlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619216892 PECOS PAC ID: 4082851829 Enrollment ID: I20130514000690 |
| Provider Name | Oyenike Sanni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841601010 PECOS PAC ID: 3375848302 Enrollment ID: I20160229001465 |
| Provider Name | Portia D Risper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497294532 PECOS PAC ID: 9234401647 Enrollment ID: I20170821000669 |
| Provider Name | Shakirah N Forde |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821347154 PECOS PAC ID: 9436402872 Enrollment ID: I20181031002879 |
| Provider Name | Lena Clarice Champlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376982850 PECOS PAC ID: 7911131685 Enrollment ID: I20191003000624 |
| Provider Name | Nekita Carter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184139818 PECOS PAC ID: 7315376522 Enrollment ID: I20200408003369 |
Georgia Health Care Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Arrowhead Blvd Ste C1&c2, Jonesboro, GA 30236 Phone: 770-961-1997 | |
Bridges And Barriers Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 North Ave Ste K, Jonesboro, GA 30236 Phone: 678-907-0388 Fax: 678-261-6465 | |
Nevaeh Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 S Main St, Jonesboro, GA 30236 Phone: 678-215-8705 Fax: 770-898-4385 | |
Campbell Trail Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 430 Sir Winston Ct, Jonesboro, GA 30238 Phone: 770-256-5238 | |
Gr8-xpressions Behavioral Health, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8762 Edenton Way, Jonesboro, GA 30238 Phone: 470-301-6444 | |
Associated Counseling, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 499 Arrowhead Blvd, Jonesboro, GA 30236 Phone: 770-603-8131 Fax: 770-603-7479 | |
Ga Champion Project Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7651 Tara Blvd, Suite 2000, Jonesboro, GA 30236 Phone: 770-210-8484 |