OrganizationActive
Mcintosh Trail Csb
NPI 1194993030 · Community/Behavioral Health Agency · Jackson, GA
Mcintosh Trail Csb is a Community/Behavioral Health Agency organization in Jackson, GA (NPI 1194993030).
Provider details
- NPI number
- 1194993030
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Pamela Mccollum, Executive Director(770) 358-8251
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
415 Ernest Biles Dr
Jackson, GA 30233-2282
Phone: (770) 775-5129
Street-level locationGet directions
Mailing address
1501a Kalamazoo Dr
Griffin, GA 30224-3919
Other names (DBA / former)
- Doing business as
- Butts Co Dd Center
Registry dates
- Enumerated
- 2008-02-13
- Last updated
- 2008-02-13
Frequently asked questions
- What is Mcintosh Trail Csb's NPI number?
- Mcintosh Trail Csb's National Provider Identifier (NPI) is 1194993030, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mcintosh Trail Csb?
- Mcintosh Trail Csb is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Mcintosh Trail Csb located?
- Mcintosh Trail Csb's practice location on file with NPPES is 415 Ernest Biles Dr, Jackson, GA 30233-2282.
- What is Mcintosh Trail Csb's phone number?
- The practice phone number listed in the NPPES registry for Mcintosh Trail Csb is (770) 775-5129.
- Who is the authorized official for Mcintosh Trail Csb?
- The authorized official listed on Mcintosh Trail Csb's NPPES record is Pamela Mccollum, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mcintosh Trail Csb's NPI active?
- Yes — Mcintosh Trail Csb's NPI (1194993030) is active in the NPPES registry as of the last update on 2008-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.