CENTRAL GA FAMILY THERAPY – Comprehensive Outpatient Rehabilitation Facility (CORF), NPI 1316788540

CENTRAL GA FAMILY THERAPY is a healthcare provider. based in Macon, Georgia. specializing in Comprehensive Outpatient Rehabilitation Facility (CORF). The NPI Number for CENTRAL GA FAMILY THERAPY is 1316788540

Main info

Organization
Name
CENTRAL GA FAMILY THERAPY
NPI
1316788540
Phone
(478) 845-3520
Address
4671 Mercer University Dr
Authorized Official
MR. CLARENCE HICKS OWNER
Enumeration Date
3 June 2024
Last Update Date
3 June 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

Provider Addresses for CENTRAL GA FAMILY THERAPY

  • 4671 Mercer University Dr

    Macon, GA 312105611

    Phone: (478) 845-3520

    Fax: (478) 956-0958

    Type: Location

  • PO BOX 27393

    MACON, GA 312217393

    Phone: (478) 845-3520

    Fax: (478) 621-7233

    Type: Mailing

  • 100 HAMILTON POINTE DR

    BYRON, GA 310086271

    Phone: (478) 845-3520

    Fax: (478) 621-7233

    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: 2025-03-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20250307003290OPhysical/Occupational Therapy Group In Private PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 31210)

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Reviews

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Frequently asked questions

What is the registry number for CENTRAL GA FAMILY THERAPY?
The registry entry for CENTRAL GA FAMILY THERAPY shows NPI 1316788540.
Does the public listing show CENTRAL GA FAMILY THERAPY as active?
CENTRAL GA FAMILY THERAPY's NPI record reflects an active status in NPPES.
What does the directory say CENTRAL GA FAMILY THERAPY does?
Insurance directories may phrase it differently, but here CENTRAL GA FAMILY THERAPY maps to Comprehensive Outpatient Rehabilitation Facility (CORF). Clinical services aligned with this taxonomy classification.
Is CENTRAL GA FAMILY THERAPY tied to Macon, Georgia?
If you are local to Macon, Georgia, CENTRAL GA FAMILY THERAPY may be relevant to your search.
Can I export CENTRAL GA FAMILY THERAPY's record?
You can download the official NPPES record; we summarize key fields for readability.

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