OrganizationActive
Americanwork, Inc.
NPI 1417229030 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hephzibah, GA
Provider details
- NPI number
- 1417229030
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- William Whiddon, Coo(912) 638-0350
- License
- CLA000684 P (GA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense CLA000684 P (GA)
Residential Treatment Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
2577 Anthony Dejuan Pkwy
Hephzibah, GA 30815-5932
Phone: (706) 772-6109
Street-level locationGet directions
Mailing address
Po Box 20664
St Simons Island, GA 31522-0264
Other names (DBA / former)
- Other name
- Americanwork, Inc. Lincolnton1
Registry dates
- Enumerated
- 2012-01-27
- Last updated
- 2012-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.