Riverstonemd PC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

032826 Issued in GA

Legal business name

RIVERSTONEMD PC

Doing business as

Riverstonemd Rural Health Clinic

Practice address

101 Riverstone Vis
Suite 205
Blue Ridge, GA 30513-6648

Phone

(706) 258-4100

Fax

(706) 632-3585

NPI assigned

Jun 26, 2006

Organization subpart

No

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

Authorized official

Name

Peggy Trigg

Title

Credentialing Manager

Phone

(706) 258-4142

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RIVERSTONEMD RURAL HEALTH CLINIC Doing business as

Locations

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1285661595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERSTONE VIS",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305136648",
            "telephone_number": "706-258-4100",
            "fax_number": "706-632-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RIVERSTONE VIS",
            "address_2": "SUITE 205",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305136648",
            "telephone_number": "706-258-4100",
            "fax_number": "706-632-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSTONEMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "TRIGG",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "706-258-4142"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "GA",
            "license": "032826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000621244A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVERSTONEMD RURAL HEALTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olivia Ann Riemer
• Renee S Rimmer, O.D.
• Riverstone Imaging Center (RiverStoneMD, PC)
• Riverstone Pharmacy
• Riverstone Urgent Care Center (RiverStoneMD, PC)
• Riverstonemd PC
• Carla Roberts, PT
• Skyelar Robinette, DMD
• Marianne Cecelia Robinson, FNP
• Chris Romine, CEO

• Rural Health Clinic/Center in Blue Ridge, GA
• Providers in Blue Ridge, GA by specialty
• Rural Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.