Trilogy Integrated Health Care

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW002589 Issued in GA

Legal business name

TRILOGY INTEGRATED HEALTH CARE

Practice address

101 Riverstone Vis
Suite 101
Blue Ridge, GA 30513-6648

Phone

(706) 632-4400

Fax

(706) 632-4404

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Raymond Tidman, M.D.

Title

Director

Phone

(706) 632-4400

Specialties & licenses 1

Addresses

Other names 1

• RiverStone Medical Campus Doing business as

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013961424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERSTONE VIS",
            "address_2": "SUITE 101",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305136648",
            "telephone_number": "706-632-4400",
            "fax_number": "706-632-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RIVERSTONE VIS",
            "address_2": "SUITE 101",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305136648",
            "telephone_number": "706-632-4400",
            "fax_number": "706-632-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILOGY INTEGRATED HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TIDMAN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "706-632-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW002589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RiverStone Medical Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lee Ann Tidman, CNP
• Raymond Eugene Tidman, MD
• Megan Alyssa Towe, FNP-C
• Tami Ayala Tran, APRN
• Frank Stanson Trigg, M.D.
• United Rehab, Inc.
• Vicki L Van Deilen, M ED, LPC
• Rachel Lauren Van Horn, FNP-BC
• Linda Fontaine Vaughn
• Janet Vollrath, RPT

• Clinical Social Worker in Blue Ridge, GA
• Providers in Blue Ridge, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.