DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES (NPI# 1760617229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760617229 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES |
| Other Organization Name | NORTHWEST GEORGIA REGIONAL HOSPITAL |
| Practice Address |
705 N Division St Nw Rome GA 30165-1454 |
| Practice Telephone | 7062956298 |
| Mailing Telephone | 7062956298 |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2010-01-29 |
| Authorized Official Name | THOMAS MULLER (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 7062956285 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 057013 | GA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000142172A | 05 | |
| GA | MEDICARE PART B | 112002GA | 01 |
| Other Name | Type Code |
|---|---|
| Northwest Georgia Regional Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861505430 | Department of Behavioral Health and Developmental Disabilities | Pharmacy | 325 Lawrence Rd, Central State Hospital, Milledgeville, GA 31062-7525 | 2006-08-16 |
| 1356351217 | Department of Behavioral Health and Developmental Disabilities | Clinic/Center | 6126 Arnold Dr, Columbus, GA 31907-1904 | 2006-08-09 |
| 1558371492 | Department of Behavioral Health and Developmental Disabilities | Clinic/Center | 4916 Lapaloma Dr, Columbus, GA 31907-2741 | 2006-08-09 |
| 1093046005 | Department of Behavioral Health and Developmental Disabilities | Psychiatric Hospital | 3405 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2010-01-15 |
| 1992036909 | Department of Behavioral Health and Developmental Disabilities | Pharmacy | 100 Myrtle Blvd, Gracewood, GA 30812-1500 | 2010-01-15 |
| 1699000703 | Department of Behavioral Health and Developmental Disabilities | Intermediate Care Facility, Mentally Retarded | 100 Myrtle Blvd, Gracewood, GA 30812-1500 | 2009-10-07 |
| 1053646166 | Department of Behavioral Health and Developmental Disabilities | Skilled Nursing Facility | 100 Myrtle Blvd, Gracewood, GA 30812-1500 | 2009-10-07 |
| 1124254941 | Department of Behavioral Health and Developmental Disabilities | Psychiatric Hospital | 3073 Panthersville Rd, Decatur, GA 30034-3828 | 2009-06-08 |
| 1033345079 | Department of Behavioral Health and Developmental Disabilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6126 Arnold Dr, Columbus, GA 31907-1904 | 2009-06-04 |
| 1053547067 | Department of Behavioral Health and Developmental Disabilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4916 Lapaloma Dr, Columbus, GA 31907-2741 | 2009-06-04 |
| Street Address |
705 N DIVISION ST NW |
| City | ROME |
| State | GA |
| Zip Code | 30165-1454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003939794 | Nw Ga Regional Hospital | Pharmacy | 705 N Division St Nw, Rome, GA 30165-1454 | 2007-04-09 |
| 1518190388 | Judy Walters | Registered Nurse | 705 N Division St Nw, Building 315, Rome, GA 30165-1454 | 2009-08-27 |
| 1033342803 | Kevin Donald Scott | Registered Nurse | 705 N Division St Nw, Bldge 315, Rome, GA 30165-1454 | 2009-08-27 |
| 1558594333 | Vickie Cooper | Registered Nurse | 705 N Division St Nw, Building 315, Rome, GA 30165-1454 | 2009-08-27 |
| 1184857963 | Patrick Andrews | Registered Nurse | 705 N Division St Nw, Building 315, Rome, GA 30165-1454 | 2009-08-27 |
| 1407089279 | Tonya Woods | Registered Nurse | 705 N Division St Nw, Building 315, Rome, GA 30165-1454 | 2009-08-27 |
| 1467685230 | Erin Hearndon | Registered Nurse | 705 N Division St Nw, Building 315, Rome, GA 30165-1454 | 2009-08-27 |
| 1619100492 | Cynthia Bryan | Registered Nurse | 705 N Division St Nw, Building 315, Rome, GA 30165-1454 | 2009-08-27 |
| 1891924577 | Nw Ga Regional Hospital | Psychiatric Hospital | 705 N Division St Nw, Rome, GA 30165-1454 | 2009-07-02 |
| 1912164294 | Greenwood Homes Learning Center 315 | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 705 N Division St Nw, Rome, GA 30165 | 2008-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285663385 | Georgia Department of Human Resources | Psychiatric Hospital | 705 North Division Street Nw, Building 103 - Clinical Director's Office, Rome, GA 30165-1454 | 2006-07-01 |
| 1891924577 | Nw Ga Regional Hospital | Psychiatric Hospital | 705 N Division St Nw, Rome, GA 30165-1454 | 2009-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922485804 | Mildred Grant | Psychiatric Hospital | 255 Sumner Lakes Rd, Sumner, GA 31789-4431 | 2015-04-30 |
| 1013259035 | Janet Warrington | Psychiatric Hospital | 438 Clem Lowell Rd, Carrollton, GA 30116-9255 | 2013-03-18 |
| 1093088643 | Ramsay Youth Services of Georgia, Inc. | Psychiatric Hospital | 3500 Riverside Dr, Macon, GA 31210-2509 | 2012-02-13 |
| 1518295518 | Reentry Corporation of America | Psychiatric Hospital | 260 Peachtree St, Atlanta, GA 30303-1202 | 2009-12-02 |
| 1427292333 | Uhs of Savannah LLC | Psychiatric Hospital | 633 Stephenson Ave, Savannah, GA 31405-5970 | 2009-04-22 |
| 1770742132 | Riverwoods Behavioral Health, LLC | Psychiatric Hospital | 223 Medical Center Drive, Riverdale, GA 30274 | 2008-06-02 |
| 1306913736 | Uhs of Laurel Heights, Lp | Psychiatric Hospital | 934 Briarcliff Rd Ne, Atlanta, GA 30306-2618 | 2006-11-29 |
| 1336114321 | Talbott Recovery Campus | Psychiatric Hospital | 5355 Hunter Rd, Atlanta, GA 30349-2594 | 2006-02-22 |
| 1205809571 | Turning Point Care Center LLC | Psychiatric Hospital | 3015 Veterans Pkwy S, Moultrie, GA 31788-6705 | 2006-02-08 |
| 1023095429 | Uhs of Anchor L.p. | Psychiatric Hospital | 5454 Yorktown Drive, Atlanta, GA 30349-5317 | 2005-12-27 |
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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.