Warner Robins Outpatient – Community/Behavioral Health Agency, NPI 1215934773
Community/Behavioral Health Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Warner Robins Outpatient
940 GA HIGHWAY 96 STE A
WARNER ROBINS, GA 310882587
Phone: (478) 988-1002
Fax: (478) 988-8780
Type: Mailing
940 Ga Highway 96
Warner Robins, GA 310882584
Phone: (478) 988-1222
Type: Location
108 Mimosa Dr
Fort Valley, GA 310303717
Phone: (478) 825-9045
Type: Location
200 Northspring Ct
Warner Robins, GA 310931660
Phone: (478) 923-1065
Type: Location
108 Vassas Ct
Warner Robins, GA 310883740
Phone: (478) 988-0018
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-06-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-02-29 (834 days ago).
Enrollment records
1
Earliest due date
2024-02-29
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040601000201 | O | Clinic/Group Practice | GA | 2024-02-29 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31088)
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