RIVER EDGE BEHAVIORAL HEALTH CENTER (NPI# 1174512966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174512966 |
| Entity Type | Organization |
| Organization Name | RIVER EDGE BEHAVIORAL HEALTH CENTER |
| Practice Address |
175 Emery Hwy Macon GA 31217-3692 |
| Practice Telephone | 4787514519 |
| Mailing Telephone | 4787514519 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2008-05-05 |
| Authorized Official Name | MRS. BETH TYLER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4787523231 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000604194E | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467965848 | River Edge Behavioral Health Center | Community/Behavioral Health | 7741 Roswell Rd Ste A, Atlanta, GA 30350-4845 | 2017-11-08 |
| 1164961876 | River Edge Behavioral Health Center | Community/Behavioral Health | 281 Carl Vinson Pkwy, Suite D, Warner Robins, GA 31088-5824 | 2017-02-14 |
| 1730483306 | River Edge Behavioral Health Center | Community/Behavioral Health | 1881 Twin Pines Dr, Macon, GA 31211-1237 | 2010-12-22 |
| 1164732384 | River Edge Behavioral Health Center | Community/Behavioral Health | 1243 First Ave, Macn, GA 31204-4177 | 2010-10-21 |
| 1023204864 | River Edge Behavioral Health Center | Community/Behavioral Health | 952 Main St, Jeffersonville, GA 31044-3727 | 2007-09-14 |
| 1669668414 | River Edge Behavioral Health Center | Community/Behavioral Health | 530 Settlement Rd Ste A, Gray, GA 31032-6030 | 2007-09-14 |
| 1295899466 | River Edge Behavioral Health Center | Community/Behavioral Health | 750 Baconsfield Dr, Macon, GA 31211-1491 | 2006-12-21 |
| 1962564963 | River Edge Behavioral Health Center | Community/Behavioral Health | 4164 Riggins Mill Rd, Macon, GA 31217-5440 | 2006-12-15 |
| 1487716577 | River Edge Behavioral Health Center | Community/Behavioral Health | 151 Childs St, Gray, GA 31032-5637 | 2006-12-14 |
| 1104988351 | River Edge Behavioral Health Center | Community/Behavioral Health | 626 Spring St, Macon, GA 31201-2028 | 2006-12-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RIVER EDGE BEHAVIORAL HEALTH CENTER | 175 Emery Hwy, Macon, GA 31217-3692 |
| Street Address |
175 EMERY HWY |
| City | MACON |
| State | GA |
| Zip Code | 31217-3692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139281 | Joy Anne Safo | Nurse Practitioner | 175 Emery Hwy, Macon, GA 31217-3692 | 2020-09-23 |
| 1932611316 | Brenda Cartwright | Registered Nurse | 175 Emery Hwy, Macon, GA 31217-3692 | 2017-10-25 |
| 1306364203 | Jennifer Bramblett | Counselor | 175 Emery Hwy, Macon, GA 31217-3692 | 2017-08-31 |
| 1396195301 | Salena Barnes | Registered Nurse | 175 Emery Hwy, Macon, GA 31217-3692 | 2016-06-21 |
| 1598126278 | Carol Ashley Allen | Social Worker | 175 Emery Hwy, Macon, GA 31217-3692 | 2016-03-09 |
| 1619368255 | Shinerika Reaves | Counselor | 175 Emery Hwy, Macon, GA 31217-3692 | 2015-02-17 |
| 1669878195 | Shari Berndt | Social Worker | 175 Emery Hwy, Macon, GA 31217-3692 | 2014-11-11 |
| 1205248119 | Sheree Telfair | Counselor | 175 Emery Hwy, Macon, GA 31217-3692 | 2014-05-27 |
| 1457763351 | Minnie Dilbeck | Counselor | 175 Emery Hwy, Macon, GA 31217-3692 | 2014-05-27 |
| 1750707337 | Bryan Kelly Jaye | Nurse Practitioner | 175 Emery Hwy, Macon, GA 31217-3692 | 2014-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326535998 | Khuzema Mohsin | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Building A, Suite 430, Macon, GA 31217 | 2018-04-18 |
| 1083135271 | Angela Polk | Nurse Practitioner | 310 Hospital Dr Ste 305, Macon, GA 31217 | 2017-06-28 |
| 1235662305 | Natalie Rodziewicz | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Suite 430, Macon, GA 31217 | 2017-04-06 |
| 1427430180 | Brett Forehand | Nurse Practitioner | 330 Hospital Dr Ste 304, Macon, GA 31217 | 2015-06-18 |
| 1376772640 | Beverly Barksdale Sanders IIi | Internal Medicine | 330 Hospital Dr., Ste. 304, Macon, GA 31217 | 2009-07-08 |
| 1528218393 | Vladimir Zahradnik | Surgery | 380 Hospital Dr Bldg A Ste 320, Macon, GA 31217 | 2008-09-29 |
| 1821274267 | Mary Charmaine Estrella Campana | Physical Therapist | 380 Hospital Drive, Building A, Ste. 430, Macon, GA 31217 | 2008-01-16 |
| 1033300785 | Joann Sams Sinclair | Nurse Practitioner | 4164 Riggins Mill Road, Macon, GA 31217 | 2007-08-07 |
| 1376689737 | Grier Godfrey | Dentist | Macon-bibb County Health Department, 171 Emery Highway, Macon, GA 31217 | 2007-01-30 |
| 1053408328 | Sujatha K. Reddy | Psychiatry & Neurology | 175 Emery Highway, Macon, GA 31217 | 2006-10-06 |
| Find all providers in zip 31217 | ||||
| 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 |
|---|---|---|---|---|
| 1699314807 | Seeds of Life Counseling Agency, LLC | Community/Behavioral Health | 3070 Clairmont Ave, Macon, GA 31204-1049 | 2020-01-06 |
| 1033664222 | Moore Resolutions Group, LLC | Community/Behavioral Health | 4100 Riverside Dr Ste 97, Macon, GA 31210-1848 | 2016-08-17 |
| 1164874509 | Chandra Albritton Counseling Services | Community/Behavioral Health | 152 New St, Suite 109b, Macon, GA 31201-7304 | 2016-07-11 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| 1902220536 | Jode Counseling Training and Treatment Services Inc | Community/Behavioral Health | 3555 Mercer University Dr, Suite 1016, Macon, GA 31204-4940 | 2014-02-18 |
| 1730483306 | River Edge Behavioral Health Center | Community/Behavioral Health | 1881 Twin Pines Dr, Macon, GA 31211-1237 | 2010-12-22 |
| 1972819753 | Resourceful Solutions II | Community/Behavioral Health | 405 Cherry St, Suite 345, Macon, GA 31201-3320 | 2010-08-31 |
| 1437270352 | Community Development System, Inc. | Community/Behavioral Health | 401 Cherry St, Suite 505, Macon, GA 31201-3384 | 2007-04-02 |
| 1295899466 | River Edge Behavioral Health Center | Community/Behavioral Health | 750 Baconsfield Dr, Macon, GA 31211-1491 | 2006-12-21 |
| 1962564963 | River Edge Behavioral Health Center | Community/Behavioral Health | 4164 Riggins Mill Rd, Macon, GA 31217-5440 | 2006-12-15 |
| Find all providers in MACON | ||||
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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.