HIGHLAND RIVERS CENTER, CSB (NPI# 1093879827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093879827 |
| Entity Type | Organization |
| Organization Name | HIGHLAND RIVERS CENTER, CSB |
| Other Organization Name | HIGHLAND RIVERS GILMER C&A SERVICES |
| Practice Address |
18090 Highway 515 N Ellijay GA 30536-1331 |
| Mailing Address |
1401 Burleyson Dr Suite 1 Dalton GA 30720-2522 |
| Practice Telephone | 7062762024 |
| Practice Fax Number | 7062761502 |
| Mailing Telephone | 7062705002 |
| Mailing Fax Number | 7063707749 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KLAY WEAVER (CEO) |
| Authorized Official Telephone | 7062705000 |
| Is Organization Subpart | N |
| 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 |
| Other Name | Type Code |
|---|---|
| HIGHLAND RIVERS GILMER C&A SERVICES | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881758613 | Highland Rivers Center, Csb | Community/Behavioral Health | 1705 Dean Ave Se, Rome, GA 30161-7105 | 2006-12-19 |
| 1285798041 | Highland Rivers Center, Csb | Community/Behavioral Health | 1709 Dean Ave Se, Rome, GA 30161-7105 | 2006-12-19 |
| 1255494365 | Highland Rivers Center, Csb | Durable Medical Equipment & Medical Supplies | 1710 Whitehouse Dr, Suite 200, Dalton, GA 30720-8523 | 2006-12-19 |
| 1336437763 | Highland Rivers Center, Csb | Community/Behavioral Health | 1 Woodbine Ave Nw, Nw, Rome, GA 30165-2397 | 2011-07-19 |
| 1396809620 | Highland Rivers Center, Csb | Respite Care | 1710 Whitehouse Dr, Suite 200, Dalton, GA 30720-8523 | 2006-12-21 |
| 1174686620 | Highland Rivers Center, Csb | Community/Behavioral Health | 1305 Redmond Cir Nw, House # 1114, Rome, GA 30165-1345 | 2006-12-18 |
| Street Address |
18090 HIGHWAY 515 N |
| City | ELLIJAY |
| State | GA |
| Zip Code | 30536-1331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083777650 | Highland Rivers Csb | Community/Behavioral Health | 18090 Highway 515 N, Ellijay, GA 30536-1331 | 2006-12-18 |
| 1336202795 | Vickie Harrison | Social Worker | 18090 Highway 515 N, P. O. 422, Ellijay, GA 30536-1331 | 2006-12-18 |
| 1205999661 | Tracy Hooper | Counselor | 18090 Highway 515 N, 18090 Hwy 515 North, Ellijay, GA 30536-1331 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750930582 | Judy Carol Wright | Technician | 1653 Yukon Road, Ellijay, GA 30536 | 2019-09-04 |
| 1255877619 | Megan Louise Konrad | Occupational Therapy Assistant | 623 Laurel Ridge Dr., Box 4192, Ellijay, GA 30536 | 2017-01-10 |
| 1649484320 | Donna Gale Palmer | Counselor | 533 Skyview Dr, # 4334, Ellijay, GA 30536 | 2007-05-10 |
| 1194718718 | Alana Maria Kent | Family Medicine | 14244 Highway 515 N, Suite 100, Ellijay, GA 30536 | 2005-08-30 |
| 1982933107 | Lifetime Medical Center, PC | Family Medicine | 14244 Highway 515 N, Suite 100, Ellijay, GA 30536 | 2009-12-17 |
| 1982744900 | Kenneth Michael Alea | Preventive Medicine | 111 Washington Ave, Ste 220, Lexington, KY 30536 | 2007-02-07 |
| 1417555483 | Meghan Anne Hunt | Nurse Practitioner | 14244 Highway 515 N Ste 100, Ellijay, GA 30536-2029 | 2020-10-13 |
| 1336672971 | Stephanie Cowart | Physical Therapy Assistant | 74 Valley Dr, Ellijay, GA 30536-2410 | 2017-04-11 |
| 1790037778 | Highland Rivers Community Service Board | Community/Behavioral Health | 256 Ralston Creek Trl, Ellijay, GA 30536-2800 | 2012-10-15 |
| 1134281751 | Susan Hawkins | Occupational Therapist | 2634 Laurel Trl, Ellijay, GA 30536-4105 | 2006-12-14 |
| Find all providers in zip 30536 | ||||
| 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 |
|---|---|---|---|---|
| 1861976144 | Generative Therapy Center LLC | Community/Behavioral Health | 968 Summit Ln, Ellijay, GA 30540-8728 | 2018-09-21 |
| 1518205046 | Highland Rivers Community Service Board | Community/Behavioral Health | 75 Parksbrook Rd, Ellijay, GA 30540-7477 | 2013-01-17 |
| 1518210418 | Highland Rivers Community Service Board | Community/Behavioral Health | 268 Canaan Rd, Ellijay, GA 30540-0849 | 2012-10-17 |
| 1619220506 | Highland Rivers Community Service Board | Community/Behavioral Health | 364 Luke Quarles Rd, Ellijay, GA 30540-9463 | 2012-10-17 |
| 1801148879 | Highland Rivers Community Service Board | Community/Behavioral Health | 51 New Liberty Trail, Ellijay, GA 30536-4755 | 2012-10-15 |
| 1790037778 | Highland Rivers Community Service Board | Community/Behavioral Health | 256 Ralston Creek Trl, Ellijay, GA 30536-2800 | 2012-10-15 |
| 1083777650 | Highland Rivers Csb | Community/Behavioral Health | 18090 Highway 515 N, Ellijay, GA 30536-1331 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376160 | Love, Breanna Olivia Zion Enterprise,llc(lboz): | Community/Behavioral Health | 9802 N Ivy Park Dr, Fortson, GA 31808-7130 | 2020-11-02 |
| 1578170882 | Helping Hearts Behavioral Health Services, LLC | Community/Behavioral Health | 504 Hamlet Dr, Hampton, GA 30228-4829 | 2020-09-30 |
| 1982219523 | Future Seekers, Inc. | Community/Behavioral Health | 3475 N. Desert Drive, Building 1, Suite 2100, East Point, GA 30344-3034 | 2020-09-10 |
| 1396359840 | Just Like Family Caregivers | Community/Behavioral Health | 2628 Lovejoy Crossing St, Hampton, GA 30228-5995 | 2020-09-02 |
| 1285247270 | Hudu Yoga & Therapy | Community/Behavioral Health | 3900 Springleaf Ct, Stone Mountain, GA 30083-4692 | 2020-08-28 |
| 1952914632 | Brighter Dayz, Incorporated | Community/Behavioral Health | 1016 Howell Mill Rd Nw Apt 4408, Atlanta, GA 30318-5592 | 2020-08-24 |
| 1699387688 | Rise Rehabilitation Services, LLC | Community/Behavioral Health | 738 Highland Park Trl, Atlanta, GA 30350-6706 | 2020-08-20 |
| 1104438373 | Pivotal Counseling LLC | Community/Behavioral Health | 75 N Broad St, Winder, GA 30680-1907 | 2020-08-19 |
| 1295347888 | Freemans Early Intervention Services | Community/Behavioral Health | 13 Peach St, Butler, GA 31006 | 2020-08-17 |
| 1861017634 | Trinity Care Counseling | Community/Behavioral Health | 3475 Northwinds Parkway, 200, Alpharetta, GA 30009 | 2020-06-08 |
| Find all providers with the same taxonomy | ||||
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| 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.