OrganizationActive
Middle Flint Community Board
NPI 1811902448 · Clinic Pharmacy · Cordele, GA
Provider details
- NPI number
- 1811902448
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Pam Davis, Exec Dir(229) 931-2470
- License
- PHRE006306 (GA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1335 N 5th Street Ext
Cordele, GA 31015-3753
Phone: (229) 276-2367
Fax: (229) 931-2474
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1348
Americus, GA 31709-1348
Other names (DBA / former)
- Doing business as
- Crisp Community Mental Health Center
Registry dates
- Enumerated
- 2006-07-30
- Last updated
- 2016-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.