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Active NPI 1700158938 Organization (Entity Type 2) Subpart Facility

Patsy Padgett

Community/Behavioral Health • Mershon, GA

Parent Organization: Satilla Community Services

About Patsy Padgett NPI 1700158938 Summary

Patsy Padgett is a verified healthcare organization specializing in Community/Behavioral Health operating in Mershon, GA. Located at 836 DAMASCUS CHURCH HWY, this facility provides patient care and medical services under National Provider Identifier (NPI) 1700158938.

Patsy Padgett operates as a subpart facility of Satilla Community Services. Administrative operations and authorized compliance are overseen by Bobby Brown (Ceo).

Facility Location & Contact Primary Location

Facility Address

836 Damascus Church Hwy

Mershon, GA 315512235

Telephone 9126325254
Fax 9124497060

Authorized Official Information

Authorized Contact Name

Bobby Brown

Title / Role

Ceo

Official Telephone

9124497111

Facility Classifications & Specialties

Community/Behavioral Health Primary Taxonomy

NUCC Taxonomy Code: 251S00000X

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active February 03, 2012

NPI status registered as active in NPPES database

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Updated Practice Location February 03, 2012

Registered at 836 DAMASCUS CHURCH HWY, MERSHON, GA 315512235 (Tel: 9126325254)

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Updated Business Mailing Address February 03, 2012

Registered at 1007 MARY ST, WAYCROSS, GA 315033823 (Tel: 9124497111)

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Organization / Clinic Name Updated February 03, 2012

Operating as PATSY PADGETT

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2012

Community/Behavioral Health

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Initial NPI Registration & Enumeration February 03, 2012

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1700158938
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: February 03, 2012
Last Update: February 03, 2012

Mailing Address

1007 Mary St

Waycross, GA 315033823

Phone: 9124497111

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.