COOK DD SERVICES – NPI #1942374350
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.).

COOK DD SERVICES is an AHC clinic located in ADEL, GA. NPPES has assigned the NPI number 1942374350 to COOK DD SERVICES on November 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COOK DD SERVICES” is a dba name, the actual legal business name for this organization is SOUTH GEORGIA CSB. 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

The NPI profile was previously updated about 17 years ago on Dec 15, 2008. 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 COOK DD SERVICES below.

NPI Profile for
SOUTH GEORGIA CSB

NPI Number
1942374350
Enumeration Date

(more than 19 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
SOUTH GEORGIA CSB
Doing Business As (dba): COOK DD SERVICES
Primary location
203 INDUSTRIAL PARK DRIVE
ADEL, GA 31620
Phone: (229) 896-7994 Fax: (229) 896-3709
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SUE GUPTON
CHIEF EXECUTIVE OFFICER
Phone: (229) 671-6101
Updated
Identifiers

Identifiers for COOK DD SERVICES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA000607032A
MEDICAIDGA000607032W
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.