NPIMap

Organization Active NPI

Bluff Plantation

  • Substance Abuse Rehabilitation Facility
  • Augusta, GA
National Provider Identifier
1144620170
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
BLUFF PLANTATION
Practice address
963 Bennock Mill Rd
Augusta, GA 30906-8705
Phone
(404) 964-8212
NPI assigned
Aug 27, 2014
Organization subpart
Yes
Parent organization
RIVERMEND HEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Authorized official

Name
Tyeast Reynolds
Title
Director of RCM
Phone
(678) 813-0428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

963 Bennock Mill Rd
Augusta, GA 30906-8705

Mailing address

2300 Windy Ridge Pkwy SE Ste 210
Atlanta, GA 30339-5665
Phone (844) 691-7855

National Provider Directory

National Provider Directory
Tax ID family
Georgia Detox and Recovery Centers LLC6 organizations share this tax ID, including this one
Part of
Georgia Detox and Recovery Centers LLC

Other organizations with this tax ID 5

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

Locations

963 Bennock Mill Rd
Augusta, GA 30906
Phone (352) 538-5899

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1144620170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WINDY RIDGE PKWY SE STE 210",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395665",
            "telephone_number": "844-691-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 BENNOCK MILL RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309068705",
            "telephone_number": "404-964-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUFF PLANTATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERMEND HEALTH, LLC",
        "enumeration_date": "2014-08-27",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "TYEAST",
        "authorized_official_title_or_position": "DIRECTOR OF RCM",
        "authorized_official_telephone_number": "678-813-0428"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.