Clayton CSB – Community/Behavioral Health Agency, NPI 1639367543

Community/Behavioral Health Agency

Clayton CSB is a healthcare provider. based in Jonesboro, Georgia. specializing in Community/Behavioral Health Agency. The NPI Number for Clayton CSB is 1639367543

Main info

Organization

Name

Clayton CSB

NPI

1639367543

Phone

(770) 478-2280

Address

157 SMITH ST

Authorized Official

MR. TERRY COLE EXCUTIVE DIRECTOR

Enumeration Date

5 October 2007

Last Update Date

8 November 2011

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience51

Completeness80

Years active:18State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Clayton CSB

157, Smith Street, Jarrard, Jonesboro, Clayton County, Georgia, 30236, United States
JONESBORO, GA 302363546
Phone: (770) 478-2280
Fax: (770) 477-9772
Type: Mailing
6315 GARDEN WALK BLVD
RIVERDALE, GA 302742628
Phone: (770) 991-7420
Fax: (770) 991-7429
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.

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (894 days ago).

Enrollment records

Earliest due date

2023-12-31

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
O20040429000779	O	Clinic/Group Practice	GA	2023-12-31

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.

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 30236)

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Reviews

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Frequently asked questions

Can I use this page to confirm Clayton CSB's NPI?

Yes. Clayton CSB is listed with NPI 1639367543 in the public NPI dataset.

Is Clayton CSB listed as active for patients and plans?

The listing shows Clayton CSB as active in the NPI system.

What taxonomy line describes Clayton CSB?

For research purposes, treat Clayton CSB as Community/Behavioral Health Agency in this dataset. Clinical services aligned with this taxonomy classification.

Where should I expect Clayton CSB on a map?

Expect Jonesboro, Georgia as a primary anchor for Clayton CSB unless the record lists multiple sites.

What does 'Organization' mean on this profile?

Entity type tells you whether the number belongs to a person or an organization.