OrganizationActive
Early Miller Employment (now)
NPI 1619245560 · Developmental Disabilities Clinic/Center · Blakely, GA
Provider details
- NPI number
- 1619245560
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Baranko, Cfo(229) 430-0416
Specialties & taxonomies
Ambulatory Health Care 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
302 Damascus Street
Blakely, GA 39823-3346
Phone: (229) 723-4325
Street-level locationGet directions
Mailing address
302 Damascus Street
Blakely, GA 39823-3346
Registry dates
- Enumerated
- 2011-12-07
- Last updated
- 2011-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.