BLUFF PLANTATION (NPI# 1144620170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144620170 |
| Entity Type | Organization |
| Organization Name | BLUFF PLANTATION |
| Practice Address |
963 Bennock Mill Rd Augusta GA 30906-8705 |
| Mailing Address |
2300 Windy Ridge Pkwy Se Ste 210 Atlanta GA 30339-5665 |
| Practice Telephone | 4049648212 |
| Mailing Telephone | 8446917855 |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2019-04-11 |
| Authorized Official Name | TYEAST REYNOLDS (DIRECTOR OF RCM) |
| Authorized Official Telephone | 6788130428 |
| Is Organization Subpart | Y |
| Parent Organization Name | RIVERMEND HEALTH, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
963 BENNOCK MILL RD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30906-8705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174150825 | Madalyn Riggins | Marriage & Family Therapist | 963 Bennock Mill Rd, Augusta, GA 30906-8705 | 2020-03-24 |
| 1780241570 | John Butler Martin | Counselor | 963 Bennock Mill Rd, Augusta, GA 30906-8705 | 2019-05-28 |
| 1063879534 | David Vinson | Counselor | 963 Bennock Mill Rd, Augusta, GA 30906-8705 | 2016-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969432 | Barton Chapel Dental Group, LLC | Dentist | 2755 Barton Chapel Road, Augusta, GA 30906 | 2020-04-01 |
| 1255897419 | Pediatric Mobility Innovations | Durable Medical Equipment & Medical Supplies | 3114 Augusta Tech Drive Suite 404, Augusta, GA 30906 | 2019-02-13 |
| 1023539731 | Kristy Lee Gibbs | Registered Nurse | 3421 Mike Padgett Hwy Bldg C, Augusta, GA 30906 | 2017-07-03 |
| 1194186031 | Clifton Nane Williams | Counselor | 3230 Hampton Circle, Augusta, GA 30906 | 2016-03-18 |
| 1376929661 | Catherine A. Ganzy | Social Worker | 3405 Mike Padgett Highway; Building 201, East Central Regional Hosptial, Augusta, GA 30906 | 2015-08-10 |
| 1962810358 | Fatemeh Azadeh Paziraei | Dentist | 1631 Gordon Highway, Augusta Smiles Youth Dentistry, Augusta, GA 30906 | 2014-07-29 |
| 1568809770 | Brandon Jennings | Occupational Therapy Assistant | 2388 Old Mcduffie Rd, Augusta, GA 30906 | 2013-05-29 |
| 1811266646 | Eddie P Johnson IIi, Dmd, PC | Preferred Provider Organization | 2755 Barton Chapel Rd, Augusta, GA 30906 | 2011-12-23 |
| 1366739021 | Kerensa A Cooks | Registered Nurse | 3421 Mike Padgett Highway, Serenity Behavioral Health Systems, Augusta, GA 30906 | 2011-07-01 |
| 1265737423 | Pidcock Chiropractic, Inc. | Chiropractor | 3028 Peach Orchard Rd., Augusta, GA 30906 | 2011-01-20 |
| Find all providers in zip 30906 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306321179 | Yarrow Lodge, LLC | Substance Abuse Rehabilitation Facility | 10677 N 48th Street, Augusta, MI 49012 | 2018-09-27 |
| 1417359308 | Hope House, Inc | Substance Abuse Rehabilitation Facility | 2205 Highland Ave, Augusta, GA 30904-5638 | 2014-09-23 |
| 1811032303 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 2542 Milledgeville Rd, Augusta, GA 30904-0407 | 2007-02-21 |
| 1487702866 | Addiction & Mental Health Services Inc | Substance Abuse Rehabilitation Facility | 105 Rossmore Pl, Augusta, GA 30909-5769 | 2007-01-08 |
| 1215472766 | Wendy Butler | Substance Abuse Rehabilitation Facility | 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2016-12-19 |
| 1427411008 | Yarrow Lodge, LLC | Substance Abuse Rehabilitation Facility | 10499 N 48th St, Augusta, MI 49012-9500 | 2016-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457902041 | Southeast Addiction Center | Substance Abuse Rehabilitation Facility | 3020 Holcomb Bridge Rd Ste C, Norcross, GA 30071-1375 | 2019-09-25 |
| 1316591811 | Rockridge Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 11030 Jones Bridge Rd Ste 301, Johns Creek, GA 30022-4560 | 2019-08-01 |
| 1225697840 | Aspire Treatment Solutions, LLC | Substance Abuse Rehabilitation Facility | 3850 Holcomb Bridge Rd Ste 215, Peachtree Corners, GA 30092-5219 | 2019-06-07 |
| 1114584570 | Metro Atlanta Treatment | Substance Abuse Rehabilitation Facility | 416 Roswell St Se, Marietta, GA 30060-2067 | 2019-05-21 |
| 1215492186 | Lanier Treatment Center | Substance Abuse Rehabilitation Facility | 592 Medical Park Dr Ste A, Gainesville, GA 30501-2055 | 2019-02-05 |
| 1700352739 | Blue Ridge Mountain Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 255 Depot St Ste 200, Ball Ground, GA 30107-4065 | 2018-10-17 |
| 1992209811 | Good Landing Recovery, Corporation | Substance Abuse Rehabilitation Facility | 256 Mcmillan Rd Ste B, Dacula, GA 30019-2337 | 2018-03-23 |
| 1164938361 | Atlanta Recovery Place | Substance Abuse Rehabilitation Facility | 1742 Mount Vernon Rd Ste 100, Atlanta, GA 30338-4251 | 2017-12-26 |
| 1548789860 | Phoenix Family Resource Center | Substance Abuse Rehabilitation Facility | 4284 Memorial Dr Ste D, Decatur, GA 30032-1220 | 2017-09-18 |
| 1104344068 | Summit Bhc Monroe, LLC | Substance Abuse Rehabilitation Facility | 723 Baxter St Ste C, Athens, GA 30605-1134 | 2017-08-31 |
| 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.