GREEN OAKS CENTER – NPI #1639855539
Clinic/Center

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Health Care Provider Taxonomy Code for Clinic/Center

GREEN OAKS CENTER is an AHC clinic located in MOULTRIE, GA. NPPES has assigned the NPI number 1639855539 to GREEN OAKS CENTER on June 26, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD1600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Developmental Disabilities

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GREEN OAKS CENTER below.

NPI Profile for
GREEN OAKS CENTER

NPI Number
1639855539
Enumeration Date

(about 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GREEN OAKS CENTER
Primary location
2443 GA HWY 133 SOUTH
MOULTRIE, GA 31788
Phone: (229) 891-7300 Fax: (229) 891-7303
Mailing address
2443 GA HWY 133 SOUTH PO BOX 2677
MOULTRIE, GA 31788
Phone: (229) 891-7300 Fax: (229) 891-7303
Organization Subpart
No
Authorized Official
MICHELLE FOLSOM
CLINICAL COORDINATOR
Phone: (229) 891-7300
Updated
Certification Date
Jun 26, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD1600X
- Clinic/Center / Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.