SUMMITRIDGE CTR FOR PSYCHIATRY & ADDICTION MEDICINE (NPI# 1881884898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881884898 |
| Entity Type | Organization |
| Organization Name | SUMMITRIDGE CTR FOR PSYCHIATRY & ADDICTION MEDICINE |
| Other Organization Name | GWINNETT MEDICAL CENTER |
| Practice Address |
250 Scenic Hwy Lawrenceville GA 30045-5675 |
| Practice Telephone | 6783125851 |
| Practice Fax Number | 6783125915 |
| Mailing Telephone | 6783125851 |
| Mailing Fax Number | 6783125915 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |
| Authorized Official Name | MS. MARGARET COLLIER (ADMINISTRATOR) |
| Authorized Official Telephone | 6783125902 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | CSW002020 | GA | Hospitals |
| Other Name | Type Code |
|---|---|
| Gwinnett Medical Center | Other Name - Individual/Organization |
| Street Address |
250 SCENIC HWY |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-5675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982634572 | Gwinnett Hospital System, Inc. | Psychiatric Unit | 250 Scenic Hwy, Lawrenceville, GA 30045-5675 | 2006-07-03 |
| 1437768827 | Ahyoung Cho | Pharmacist | 250 Scenic Hwy, Lawrenceville, GA 30046-5675 | 2020-07-30 |
| 1528695137 | Latoya Venise Montfort | Nurse Practitioner | 250 Scenic Hwy, Lawrenceville, GA 30046-5675 | 2020-03-24 |
| 1760993760 | Charisse M Hughson Chitolie | Nurse Practitioner | 250 Scenic Hwy, Lawrenceville, GA 30046-5675 | 2017-10-17 |
| 1497160394 | Jonathan Wiesner | Counselor | 250 Scenic Hwy, Lawrenceville, GA 30046-5675 | 2014-06-30 |
| 1457693541 | Danny Hawkins | Counselor | 250 Scenic Hwy, Lawrenceville, GA 30046-5675 | 2013-03-27 |
| 1598032682 | Kambiz Aflatoon | Psychiatry & Neurology | 250 Scenic Hwy, Lawrenceville, GA 30046-5675 | 2011-11-17 |
| 1033359195 | Uhs of Summitridge, LLC | Psychiatry & Neurology | 250 Scenic Hwy, Lawrenceville, GA 30045-5675 | 2009-03-03 |
| 1407021546 | Uhs of Summitridge, LLC | Psychiatric Hospital | 250 Scenic Hwy, Lawrenceville, GA 30046-5675 | 2008-04-29 |
| 1427220680 | R. Michael Allen, Mdpc | Psychiatry & Neurology | 250 Scenic Hwy, Lawrenceville, GA 30045-5675 | 2008-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| 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 |
|---|---|---|---|---|
| 1407021546 | Uhs of Summitridge, LLC | Psychiatric Hospital | 250 Scenic Hwy, Lawrenceville, GA 30046-5675 | 2008-04-29 |
| 1134310980 | Summitridge | Psychiatric Hospital | 250 Scenic Hwy, Lawrenceville, GA 30045-5675 | 2007-08-07 |
| 1972794261 | Summit Ridge Center for Psychiatry & Addiction Medicine | Psychiatric Hospital | 250 Scenic Hwy, Lawrenceville, GA 30045-5675 | 2007-08-05 |
| 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 |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
Please comment or provide details below to improve the information on SUMMITRIDGE CTR FOR PSYCHIATRY & ADDICTION MEDICINE.
| 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.