NPIMap

Organization Active NPI

Georgia Department of Human Resources

Doing business as Northwest Georgia Regional Hospital

  • Psychiatric Hospital
  • Rome, GA
National Provider Identifier
1285663385
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
057-013 Issued in GA
Legal business name
GEORGIA DEPARTMENT OF HUMAN RESOURCES
Doing business as
Northwest Georgia Regional Hospital
Practice address
705 North Division Street NW
Building 103 - Clinical Director's Office
Rome, GA 30165-1454
Phone
(706) 295-6285
NPI assigned
Jul 1, 2006
Last updated
Sep 22, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
GEORGIA DEPARTMENT OF HUMAN RESOURCESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Authorized official

Name
Thomas Muller, M.D.NPI 1801826128
Title
Clinical Director
Phone
(706) 295-6285

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 057-013 GA Primary

Addresses

Primary practice location

705 North Division Street NW
Building 103 - Clinical Director's Office
Rome, GA 30165-1454

Mailing address

705 North Division Street NW
Building 103 - Clinical Director's Office
Rome, GA 30165-1454

Other identifiers 1

IdentifierTypeStateIssuer
000142172AMedicaidGA

Other names 1

  • Northwest Georgia Regional Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
NW Ga Regional Hospital74 organizations share this tax ID, including this one
Part of
NW Ga Regional Hospital

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

705 N Division St NW
Bldg 103
Rome, GA 30165
Phone (706) 295-6285

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1285663385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 NORTH DIVISION STREET NW",
            "address_2": "BUILDING 103 - CLINICAL DIRECTOR'S OFFICE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 NORTH DIVISION STREET NW",
            "address_2": "BUILDING 103 - CLINICAL DIRECTOR'S OFFICE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651454",
            "telephone_number": "706-295-6285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA DEPARTMENT OF HUMAN RESOURCES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GEORGIA DEPARTMENT OF HUMAN RESOURCES",
        "enumeration_date": "2006-07-01",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "MULLER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "706-295-6285",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "GA",
            "license": "057-013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000142172A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Georgia Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.