HIGHLAND RIVERS CSB (NPI# 1093878464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093878464 |
| Entity Type | Organization |
| Organization Name | HIGHLAND RIVERS CSB |
| Other Organization Name | HIGHLAND RIVERS WHITFIELD COUNTY C&A OFFICE |
| Practice Address |
900 Shugart Rd Suite C Dalton GA 30720-2467 |
| Mailing Address |
1401 Applewood Dirve Suite 1 Dalton GA 30720-2699 |
| Practice Telephone | 7062705047 |
| Practice Fax Number | 7062705055 |
| Mailing Telephone | 7062705002 |
| Mailing Fax Number | 7063707749 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2011-09-20 |
| Authorized Official Name | MR. JASON BEARDEN (CEO) |
| Authorized Official Telephone | 7062705000 |
| Is Organization Subpart | Y |
| Parent Organization Name | HIGHLAND RIVERS CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | ORGANIZATION MASTER NPI | 1447256243 | 01 |
| GA | 000601807E | 05 |
| Other Name | Type Code |
|---|---|
| Highland Rivers Whitfield County C&A Office | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003358839 | Highland Rivers Csb | Community/Behavioral Health | 419 N Wall St, Calhoun, GA 30701-1943 | 2016-11-10 |
| 1912060088 | Highland Rivers Csb | Community/Behavioral Health | 320 N River St, Calhoun, GA 30701-1826 | 2006-12-19 |
| 1538222971 | Highland Rivers Csb | Community/Behavioral Health | 323 Roland Rd, Jasper, GA 30143-5336 | 2006-12-18 |
| 1043373467 | Highland Rivers Csb | Community/Behavioral Health | 191 Lamar Haley Dr, Canton, GA 30114-8019 | 2006-12-18 |
| 1164585550 | Highland Rivers Csb | Community/Behavioral Health | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2006-12-18 |
| 1629131214 | Highland Rivers Csb | Community/Behavioral Health | 6 Mathis Drive, Nw, Suite B, Rome, GA 30165-1242 | 2006-12-18 |
| 1083777650 | Highland Rivers Csb | Community/Behavioral Health | 18090 Highway 515 N, Ellijay, GA 30536-1331 | 2006-12-18 |
| 1417010885 | Highland Rivers Csb | Community/Behavioral Health | 407 N. Thornton Ave, Suite 5, Dalton, GA 30720-3549 | 2006-12-18 |
| 1740343300 | Highland Rivers Csb | Community/Behavioral Health | 650 Joe Frank Harris Pkwy S.e., Cartersville, GA 30120-3962 | 2006-12-18 |
| 1205291085 | Highland Rivers Csb | Community/Behavioral Health | 1401 Applewood Dr, Dalton, GA 30720-2699 | 2015-12-22 |
| Street Address |
900 SHUGART RD SUITE C |
| City | DALTON |
| State | GA |
| Zip Code | 30720-2467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699847616 | Madhubala A Patel | Psychiatry & Neurology | 900 Shugart Rd, Dalton, GA 30720-2467 | 2006-11-14 |
| 1790249589 | Sherrie Dunaway | Nurse Practitioner | 900 Shugart Rd, Dalton, GA 30720-2467 | 2019-01-25 |
| 1629558879 | Season Flores | Social Worker | 900 Shugart Rd, Dalton, GA 30720-2467 | 2018-08-17 |
| 1497270961 | Sean Sweet | Pharmacist | 900 Shugart Rd, Dalton, GA 30720-2467 | 2017-08-07 |
| 1952841025 | Kauri Tallant | Counselor | 900 Shugart Rd, Dalton, GA 30720-2467 | 2017-03-08 |
| 1194176057 | Oscar Holliday | Community Health Worker | 900 Shugart Rd, Dalton, GA 30720-2467 | 2016-06-22 |
| 1194179655 | Ashley Stevens | Case Manager/Care Coordinator | 900 Shugart Rd, Dalton, GA 30720-2467 | 2016-04-20 |
| 1659731552 | Seth Klinehoffer | Counselor | 900 Shugart Rd, Dalton, GA 30720-2467 | 2016-03-04 |
| 1790144376 | Barbara Ward | Social Worker | 900 Shugart Rd, Dalton, GA 30720-2467 | 2016-02-11 |
| 1215395454 | Glennys Soraya Febles | Counselor | 900 Shugart Rd, Dalton, GA 30720-2467 | 2016-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
| Find all providers in zip 30720 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871047647 | Advanced Creative Solutions | Community/Behavioral Health | 307 Sparks Ln, Dalton, GA 30720-5815 | 2016-08-10 |
| 1902159981 | Highland Rivers Community Service Board | Community/Behavioral Health | 481 Scarlett Drive, Dalton, GA 30721-7893 | 2012-10-16 |
| 1760734792 | Highland Rivers Community Service Board | Community/Behavioral Health | 282 Wilson Ave, Dalton, GA 30720-5871 | 2012-10-15 |
| 1558614586 | Highland Rivers Community Service Board | Community/Behavioral Health | 244 Caisson Way, Dalton, GA 30721-4772 | 2012-10-15 |
| 1124370101 | Highland Rivers Community Service Board | Community/Behavioral Health | 324 Sycamore Cir, Dalton, GA 30721-5057 | 2012-10-15 |
| 1649523671 | Highland Rivers Community Service Board | Community/Behavioral Health | 2676 S Riverbend Rd, Dalton, GA 30721-5221 | 2012-10-15 |
| 1538411533 | Highland Rivers Community Service Board | Community/Behavioral Health | 3436 Discovery Lane, Dalton, GA 30721-1729 | 2012-10-15 |
| 1003169038 | Highland Rivers Community Service Board | Community/Behavioral Health | 1968 Dawnville Beaverdale Rd Ne, Dalton, GA 30721-7105 | 2012-10-15 |
| 1245582360 | Highland Rivers Community Service Board | Community/Behavioral Health | 351 Remington Way, Dalton, GA 30721-9178 | 2012-10-12 |
| 1245582311 | Highland Rivers Community Service Board | Community/Behavioral Health | 2615 Cleveland Hwy Ste 2, Dalton, GA 30721-8160 | 2012-10-12 |
| Find all providers in DALTON | ||||
Please comment or provide details below to improve the information on HIGHLAND RIVERS CSB.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.