Individual provider Active NPI

Timothy Lee Riggins, MSW, ED. D., LCSW

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1245677483
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005335 Issued in GA
Practice address
2020 Peachtree Rd NW
Atlanta, GA 30309-1465
Phone
(404) 603-1476
Fax
(404) 603-1475
NPI assigned
May 29, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C008289 NC
Clinical Social Worker 1041C0700X CSW005335 GA Primary

Addresses

Primary practice location

2020 Peachtree Rd NW
Atlanta, GA 30309-1465

Mailing address

195 14TH St NE Unit 806
Atlanta, GA 30309-2673
Phone (919) 274-5526

Other practice location 1

195 14th St NE Unit 806
Atlanta, GA 30309-2673
Phone (919) 274-5526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150624001198 GA Practitioner - Clinical Social Worker 4789995200 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shepherd Center, Inc.Group PAC ID 1052301777, 51 clinicians

Practice addresses (Care Compare)

1942 Clairmont Rd
Decatur, GA 30033-3406
Phone (404) 248-1667

2020 Peachtree Rd NW
Atlanta, GA 30309-1426
Phone (404) 352-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C008289NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shepherd Center Inc CurrentSince Feb 19, 2015 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince May 30, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

2020 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 350-7333

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1245677483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 14TH ST NE UNIT 806",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092673",
            "telephone_number": "919-274-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 PEACHTREE RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091465",
            "telephone_number": "404-603-1476",
            "fax_number": "404-603-1475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "195 14th St NE Unit 806",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303092673",
            "country_code": "US",
            "telephone_number": "919-274-5526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIGGINS",
        "first_name": "TIMOTHY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MSW, ED. D.,  LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-29",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008289",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.