| Oconee Community Service Board | |
|
1239 Orchard Hill Rd Milledgeville GA 31061-2549 | |
| (478) 445-4721 | |
| Not Available |
| Full Name | Oconee Community Service Board |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1239 Orchard Hill Rd, Milledgeville, Georgia |
| Authorized Official Name and Position | Jennifer Gheesling (OFFICE SYSTEMS MANAGER) |
| Authorized Official Contact | 4784454971 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oconee Community Service Board Po Box 1827 Milledgeville GA 31059-1827 Ph: (478) 445-4817 | Oconee Community Service Board 1239 Orchard Hill Rd Milledgeville GA 31061-2549 Ph: (478) 445-4721 |
| NPI Number | 1295922128 |
|---|---|
| Provider Enumeration Date | 09/25/2007 |
| Last Update Date | 11/11/2021 |
| Certification Date | 11/11/2021 |
| Medicare PECOS PAC ID | 1052392446 |
|---|---|
| Medicare Enrollment ID | O20100812000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295922128 | NPI | - | NPPES |
| 000604469AI | Medicaid | GA | |
| 000604469N | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Howard N Caplan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477565463 PECOS PAC ID: 5193863884 Enrollment ID: I20091118000255 |
| Provider Name | Olusola Olawale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205327764 PECOS PAC ID: 5496005076 Enrollment ID: I20180830003632 |
| Provider Name | Brielle Cartwright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710484969 PECOS PAC ID: 7113252164 Enrollment ID: I20200224000342 |
| Provider Name | Riuyinosa Elema |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780144956 PECOS PAC ID: 6406185024 Enrollment ID: I20220810003796 |
| Provider Name | Michael D Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255094678 PECOS PAC ID: 2769859321 Enrollment ID: I20221110001926 |
Oconee Community Service Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Culver Kidd Building Vinson Highway, Milledgeville, GA 31061 Phone: 478-445-4817 | |
Oconee Community Service Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1241 Orchard Hill Rd, Milledgeville, GA 31061 Phone: 478-445-4971 | |
Baldwin Location Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 541 West Montgomery Street, Milledgeville, GA 31061 Phone: 478-445-1290 | |
Oconee Community Service Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Pine Knoll Dr Se, Milledgeville, GA 31061 Phone: 478-445-5255 | |
Provision Counseling Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1776 N Jefferson St Ne Ste B, Milledgeville, GA 31061 Phone: 478-414-1946 Fax: 866-815-6940 | |
Oconee Community Service Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1241 Orchard Hill Rd, Milledgeville, GA 31061 Phone: 478-445-4971 | |
Oconee Community Service Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Barrows Ferry Rd Ne, Milledgeville, GA 31061 Phone: 478-445-5518 |