Mental Retardation Waiver Program
Mental Retardation Waiver Program is a healthcare organization registered as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Columbus, GA, holding Type 2 (organization) NPI 1740475805 since 2007. The authorized official on file is Perry Alexander, Ceo.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1740475805 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mental Retardation Waiver Program |
| Parent organization | New Horizons Community Service Board |
| Practice address | 2100 COMER AVE, Columbus, GA, 31904 |
| Phone | 7065965583 |
| Fax | 7065965589 |
| Enumeration date | 2007-09-12 |
| Last updated in NPPES | 2007-09-12 |
Authorized official
| Name | Perry Alexander |
|---|---|
| Title | Ceo |
| Phone | 7065965582 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Primary | — | — |
Copy-ready billing details
Provider: Mental Retardation Waiver Program NPI: 1740475805 Taxonomy: 320900000X (Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility) Address: 2100 COMER AVE, Columbus, GA, 31904
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1164420220 | Demetria Hendrix | Individual | Pharmacist | Columbus, GA |
| 1477546489 | Pamela Shaw-Grant | Individual | Nurse Practitioner | Columbus, GA |
| 1154315422 | New Horizons Area Mh Mr Sa Program | Organization | Clinic/Center | Columbus, GA |
| 1710974571 | Harold Vang | Individual | Pharmacist | Columbus, GA |
| 1023009719 | Jamie Thompson | Individual | Pharmacotherapy Pharmacist | Columbus, GA |
| 1407956360 | John Fullick | Individual | Physician Assistant | Columbus, GA |
| 1447341979 | Edward Minor | Individual | Child & Adolescent Psychiatry Physician | Columbus, GA |
| 1376634790 | Andrea Winston | Individual | Professional Counselor | Columbus, GA |
Verify this record
Cross-check NPI 1740475805 against the authoritative CMS record: view Mental Retardation Waiver Program on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Mental Retardation Waiver Program?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-09-12.