| Satilla Community Services | |
|
1007 Mary Street Waycross GA 31503 | |
| (912) 449-7100 | |
| (912) 449-7056 |
| Full Name | Satilla Community Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1007 Mary Street, Waycross, Georgia |
| Authorized Official Name and Position | Allen Brown (CEO) |
| Authorized Official Contact | 9124497100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Satilla Community Services 1007 Mary Street Waycross GA 31503 Ph: (912) 449-7100 | Satilla Community Services 1007 Mary Street Waycross GA 31503 Ph: (912) 449-7100 |
| NPI Number | 1528104866 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 07/25/2013 |
| Medicare PECOS PAC ID | 7517852247 |
|---|---|
| Medicare Enrollment ID | O20040220000112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528104866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Chrissie Clure |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255413654 PECOS PAC ID: 1254397003 Enrollment ID: I20041203000629 |
| Provider Name | Kayln T Lane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619154028 PECOS PAC ID: 1153489851 Enrollment ID: I20081024000350 |
| Provider Name | Melissa Guthrie-thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578864997 PECOS PAC ID: 4082802129 Enrollment ID: I20101216000323 |
| Provider Name | Mitzi B Tyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396983227 PECOS PAC ID: 6800065582 Enrollment ID: I20110815000504 |
| Provider Name | Deborah Maine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669840187 PECOS PAC ID: 3971812009 Enrollment ID: I20151012001722 |
| Provider Name | Fady Henein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265788079 PECOS PAC ID: 4486886447 Enrollment ID: I20160616001336 |
| Provider Name | Lindsey Tatum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659629772 PECOS PAC ID: 2163704305 Enrollment ID: I20170123001785 |
| Provider Name | Yotta Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992292874 PECOS PAC ID: 0840536363 Enrollment ID: I20190103003156 |
| Provider Name | Jessica Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417412917 PECOS PAC ID: 1951644954 Enrollment ID: I20190514003111 |
| Provider Name | Laurine Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932624053 PECOS PAC ID: 2567793359 Enrollment ID: I20191009000557 |
| Provider Name | Carla Winn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134365893 PECOS PAC ID: 0345673638 Enrollment ID: I20191126002781 |
| Provider Name | Michele Md Willis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811383375 PECOS PAC ID: 4880901123 Enrollment ID: I20200922000833 |
| Provider Name | Hannah Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679172084 PECOS PAC ID: 0244640746 Enrollment ID: I20201112001867 |
| Provider Name | Kyashirah Barner Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740805134 PECOS PAC ID: 9032481841 Enrollment ID: I20210224002235 |
| Provider Name | Shawana Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164043055 PECOS PAC ID: 7416344973 Enrollment ID: I20220502000960 |
| Provider Name | Taylor Marie Strickland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225892771 PECOS PAC ID: 8527404185 Enrollment ID: I20240306002184 |
Yvonne Thomas Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 Crescent St, Waycross, GA 31501 Phone: 912-283-5715 Fax: 912-449-7060 | |
Unison Behavioral Health Pharmacy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1007 Mary Street, Waycross, GA 31501 Phone: 912-449-7147 Fax: 912-449-7089 | |
Unison Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1003 Mary Street, Waycross, GA 31503 Phone: 912-449-7100 Fax: 912-449-7056 | |
Paresh K Thanki, Md, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1707 Boulevard Sq Ste A, Waycross, GA 31501 Phone: 912-490-0078 Fax: 912-490-0083 | |
Memorial Satilla Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1900 Tebeau St, Waycross, GA 31501 Phone: 912-283-3030 Fax: 912-287-2505 | |
Joletha Williams Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Mcdonald St, Waycross, GA 31503 Phone: 912-283-8587 | |
Cls Comp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3201 Harris Rd, Waycross, GA 31503 Phone: 912-449-7851 Fax: 912-449-7060 |