Restorathens, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RESTORATHENS, LLC

Practice address

394 S Milledge Ave
Athens, GA 30605-5626

Phone

(470) 767-0443

Fax

(762) 356-4331

NPI assigned

Sep 17, 2021

Organization subpart

No

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

Authorized official

Name

Nicholas Reiter

Title

Coo

Phone

(937) 545-1218

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 9

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

• Kelsey Berkner, NP-C

  • Family Nurse Practitioner
  • Athens, GA
  • NPI 1730725276
  Medicare reassignment Care Compare group NPD
• Christopher Lepage Gaunder, M.D

  • Orthopaedic Surgery Physician
  • Athens, GA
  • NPI 1811133101
  Medicare reassignment Care Compare group NPD
• Heather Nicole Pickelsimer, FNP-BC

  • Family Nurse Practitioner
  • Jefferson, GA
  • NPI 1619336005
  Medicare reassignment Care Compare group NPD
• Erin Marie Reiter, PA

  • Physician Assistant
  • Watkinsville, GA
  • NPI 1538488168
  Medicare reassignment Care Compare group
• Scott Allen Bickerton, NP

  • Nurse Practitioner
  • Lawrenceville, GA
  • NPI 1104482322
  Medicare reassignment NPD
• Karen Dixon

  • Nurse Practitioner
  • Athens, GA
  • NPI 1427401298
  Medicare reassignment NPD
• Matthew S Farmer, MD

  • Internal Medicine Physician
  • Athens, GA
  • NPI 1316233323
  Medicare reassignment NPD
• Jerel Keith Harris, NP-C

  • Family Nurse Practitioner
  • Kennesaw, GA
  • NPI 1750843876
  Medicare reassignment NPD
• Natasha L Osborne, NP-C

  • Family Nurse Practitioner
  • Athens, GA
  • NPI 1730665118
  Medicare reassignment NPD

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1295405488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 S MILLEDGE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306055626",
            "telephone_number": "470-767-0443",
            "fax_number": "762-356-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 S MILLEDGE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306055626",
            "telephone_number": "470-767-0443",
            "fax_number": "762-356-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATHENS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "REITER",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "937-545-1218"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jake Earl Resch, ATC
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• Restful Care Counseling, LLC
• Mark Restivo, DC NMT
• Restorative Therapy and Consulting LLC
• Patrick David Retterbush, M.D.
• William Aaron Retterbush, PA-C
• Anne W. Reynolds, PH.D.
• Karen Guilkey Reynolds, MD

• Clinic/Center in Athens, GA
• Providers in Athens, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.