NPIMap

Organization Active NPI

Highland Rivers CSB

  • Community/Behavioral Health Agency
  • Dalton, GA
National Provider Identifier
1164585543
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HIGHLAND RIVERS CSB
Practice address
900 Shugart Rd
Suite a
Dalton, GA 30720-2467
Phone
(706) 270-5005
Fax
(706) 270-5134
NPI assigned
Dec 18, 2006
Organization subpart
Yes
Parent organization
HIGHLAND RIVERS CENTER, CSBAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Mr. Jason Bearden
Title
Ceo
Phone
(706) 270-5000

Other NPIs on the same Medicare enrollment 16

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

View all 16

Practitioners 177

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040324001204 GA Part B Supplier - Clinic/Group Practice 9032000245 Receives reassigned benefits from 146 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rome, GA; Smyrna, GA; Marietta, GA; Jasper, GA; Hiram, GA; Ellijay, GA; Dalton, GA; Cedartown, GA…

National Provider Directory

National Provider Directory
Tax ID family
Highland Rivers Center CSB123 organizations share this tax ID, including this one
Part of
Highland Rivers Center CSB

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

809 E Main St
Blue Ridge, GA 30513
Phone (706) 632-0330

1449 Temple Rd
Bremen, GA 30110
Phone (770) 537-2367

320 N River St NW
Calhoun, GA 30701
Phone (706) 625-8369

204 N River St
Calhoun, GA 30701
Phone (706) 625-8369

900 Shugart Rd
Ste B
Dalton, GA 30720
Phone (706) 270-5027

900 Shugart Rd
Ste C
Dalton, GA 30720
Phone (706) 270-5047

18090 Highway 515 N
Ellijay, GA 30536
Phone (706) 276-2024

1179 Progress Rd
Ellijay, GA 30540
Phone (706) 635-2739

6 Mathis Dr NW
Ste B
Rome, GA 30165
Phone (706) 233-9023

43 Chateau Ct SE
Rome, GA 30161
Phone (706) 233-9023

1838 Redmond Cir NW
Rome, GA 30165
Phone (678) 643-4583

6 Mathis Dr NW
Ste A
Rome, GA 30165
Phone (706) 291-7201

3830 S Cobb Dr SE
Ste 200300
Smyrna, GA 30080
Phone (678) 821-1478

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X GA
Community/Behavioral Health Agency 251S00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

900 Shugart Rd
Suite a
Dalton, GA 30720-2467

Mailing address

1401 Applewood Drive
Suite 1
Dalton, GA 30720-2699
Phone (706) 270-5002

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
000601807HMedicaidGA
1447256243OtherGAORGANIZATION MASTER NPI

Other names 1

NPPES NPI Registry
  • HIGHLAND RIVERS WHITFIELD TREATMENT SERVICES Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 20, 2011.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1164585543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 APPLEWOOD DRIVE",
            "address_2": "SUITE 1",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202699",
            "telephone_number": "706-270-5002",
            "fax_number": "706-370-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SHUGART RD",
            "address_2": "SUITE A",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202467",
            "telephone_number": "706-270-5005",
            "fax_number": "706-270-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND RIVERS CSB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HIGHLAND RIVERS CENTER, CSB",
        "enumeration_date": "2006-12-18",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "BEARDEN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-270-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000601807H",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION MASTER NPI",
            "identifier": "1447256243",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HIGHLAND RIVERS WHITFIELD TREATMENT SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.