BHG Lxvi, LLC

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

Legal business name

BHG LXVI, LLC

Doing business as

BHG Medical Services - Georgia

Practice address

794 McDonough Road
Suite #104, Obot Room #100
Jackson, GA 30233-1572

Phone

(770) 775-9044

Fax

(770) 775-9075

NPI assigned

Mar 28, 2023

Last updated

Apr 7, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Zack Ragsdale

Title

Director

Phone

(512) 454-5911

Specialties & licenses 8

Addresses

Other names 1

• BHG Medical Services - Georgia Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• BHG Lxvi, LLC

  dba BHG Medical Services - Georgia

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Tifton, GA
  • NPI 1043914591

  O20211105000986

  Same enrollment
• BHG Lxvi, LLC

  dba BHG Medical Services-Bremen

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Bremen, GA
  • NPI 1811596646

  O20211105000986

  Same enrollment
• BHG Lxvi, LLC

  dba BHG Medical Services - Georgia

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Albany, GA
  • NPI 1831893353

  O20211105000986

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

BHG Lxvi LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• BHG Lxvi, LLC

  dba BHG Medical Services - Georgia

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Tifton, GA
  • NPI 1043914591
  NPD tax ID
• BHG Lxvi, LLC

  dba BHG Medical Services-Bremen

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Bremen, GA
  • NPI 1811596646
  NPD tax ID
• BHG Lxvi, LLC

  dba BHG Medical Services - Georgia

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Albany, GA
  • NPI 1831893353
  NPD tax ID

Locations

Networks

• SC HMO

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiffany Merritt Fallin, NP

  • Family Nurse Practitioner
  • Cordele, GA
  • NPI 1801140769
  NPD
• Dawn Marie Floyd, NP

  • Nurse Practitioner
  • Tifton, GA
  • NPI 1346539533
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1003510520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 SPRING VALLEY ROAD",
            "address_2": "SUITE 600 EAST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443946",
            "telephone_number": "214-365-6100",
            "fax_number": "214-365-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "794 MCDONOUGH ROAD",
            "address_2": "SUITE #104, OBOT ROOM #100",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302331572",
            "telephone_number": "770-775-9044",
            "fax_number": "770-775-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHG LXVI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "RAGSDALE",
        "authorized_official_first_name": "ZACK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "512-454-5911"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BHG Medical Services - Georgia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BHG Medical Services - Georgia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana B Bass Burch, PA
• John Stephen Bender, DDS
• Bennie R White Jr MD Inc
• Whitney L Berry, CSFA
• BHG Lii, LLC (BHG Jackson Treatment Center)
• Big D's Discount Drugs
• Lezlie F Biles, MD
• Brooke Nicole Bolden, NP
• Lynn A Boyles, LCSW
• Heather Elizabeth Brooker, FNP-C

• Addiction Medicine (Psychiatry & Neurology) Physician in Jackson, GA
• Providers in Jackson, GA by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.