Mcintosh Trail Csb
Mcintosh Trail Csb is a healthcare organization registered as Clinic Pharmacy in Griffin, GA, holding Type 2 (organization) NPI 1932368974 since 2008. The authorized official on file is Pamela Mccollum, Executive Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1932368974 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mcintosh Trail Csb |
| Other name | <Unavail> |
| Practice address | 1501A KALAMAZOO DR, Griffin, GA, 30224 |
| Phone | 7703588250 |
| Fax | 7702293223 |
| Enumeration date | 2008-06-05 |
| Last updated in NPPES | 2008-06-11 |
Authorized official
| Name | Pamela Mccollum |
|---|---|
| Title | Executive Director |
| Phone | 7703588251 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0002X | Clinic Pharmacy | Primary | PHRE005229 | GA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1123645 | Other | GA | NCPDP |
| 000251666A | Medicaid | GA | — |
Copy-ready billing details
Provider: Mcintosh Trail Csb NPI: 1932368974 Taxonomy: 3336C0002X (Clinic Pharmacy) Address: 1501A KALAMAZOO DR, Griffin, GA, 30224
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1497871313 | Connie Klopfenstein | Individual | Psychiatric/Mental Health Clinical Nurse Specialist | Griffin, GA |
| 1740456151 | Tammy Garner | Individual | Licensed Practical Nurse | Griffin, GA |
| 1528369485 | Michelle Milstein | Individual | Registered Nurse | Griffin, GA |
Verify this record
Cross-check NPI 1932368974 against the authoritative CMS record: view Mcintosh Trail Csb 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
Where is Mcintosh Trail Csb located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-06-11.