Active NPI
BHG Xlix, LLC
Doing business as BHG Madison Treatment Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Madison, TN
National Provider Identifier
1306514583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- BHG XLIX, LLC
- Doing business as
- BHG Madison Treatment Center
- Practice address
- 176 Cude LN
Madison, TN 37115-2202 - Phone
- (615) 281-6757
- Fax
- (615) 281-6753
- NPI assigned
- Sep 1, 2021
- Last updated
- Dec 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jay Higham
- Title
- Ceo
- Phone
- (214) 365-6112
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | NU | Primary |
Addresses
Primary practice location
176 Cude LN
Madison, TN 37115-2202
Mailing address
5001 Spring Valley Road
Suite 600 East
Dallas, TX 75244
Phone (214) 365-6100
Other names 1
- BHG Madison Treatment Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Opioid treatment program
- Medicare-enrolled since Dec 3, 2021
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220420001133 | TN | Part B Supplier - Opioid Treatment Program (Otp) | 0042607186 | Practice locations: Madison, TN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Addiction (Substance Use Disorder) Counselor
- Hendersonville, TN
- NPI 1467843763
-
- Family Nurse Practitioner
- Madison, TN
- NPI 1417381260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735171200000",
"number": "1306514583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 SPRING VALLEY ROAD",
"address_2": "SUITE 600 EAST",
"city": "DALLAS",
"state": "TX",
"postal_code": "75244",
"telephone_number": "214-365-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 CUDE LN",
"city": "MADISON",
"state": "TN",
"postal_code": "371152202",
"telephone_number": "615-281-6757",
"fax_number": "615-281-6753"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BHG XLIX, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-01",
"last_updated": "2024-12-26",
"certification_date": "2024-12-26",
"status": "A",
"authorized_official_last_name": "HIGHAM",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "214-365-6112"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BHG Madison Treatment Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BHG Madison Treatment Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Madison, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.