NPIMap

Organization Active NPI

Highland Rivers CSB

  • Community/Behavioral Health Agency
  • Dalton, GA
National Provider Identifier
1164585550
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HIGHLAND RIVERS CSB
Practice address
2615 Cleveland Hwy
Dalton, GA 30721-8160
Phone
(706) 270-5040
Fax
(706) 270-5116
NPI assigned
Dec 18, 2006
Organization subpart
Yes
Parent organization
HIGHLAND RIVERS CENTER, CSBAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Authorized official

Name
Mrs. Melanie Dallas
Title
Ceo
Phone
(706) 270-5000

Specialties & licenses 2

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

Addresses

Primary practice location

2615 Cleveland Hwy
Dalton, GA 30721-8160

Mailing address

1503 N Tibbs Rd
Dalton, GA 30720-2915
Phone (706) 270-5033

Other identifiers 1

IdentifierTypeStateIssuer
000601807UMedicaidGA

Other names 1

  • HIGHLAND RIVERS NEW HOPE WOMEN'S CENTER - TANF OP RESIDENTIAL Doing business as

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…

Other NPIs on the same Medicare enrollment 16

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

View all 16

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

900 Shugart Rd
Ste A
Dalton, GA 30720
Phone (706) 270-5005

2615 Cleveland Hwy
Dalton, GA 30721
Phone (706) 270-5040

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1164585550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 N TIBBS RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202915",
            "telephone_number": "706-270-5033",
            "fax_number": "706-370-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 CLEVELAND HWY",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307218160",
            "telephone_number": "706-270-5040",
            "fax_number": "706-270-5116"
        }
    ],
    "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": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "DALLAS",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-270-5000",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "000601807U",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HIGHLAND RIVERS NEW HOPE WOMEN'S CENTER - TANF OP RESIDENTIAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HIGHLAND RIVERS NEW HOPE WOMEN'S CENTER - TANF OP RESIDENTIAL",
            "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 Nov 4, 2022; 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.