Organization Active NPI

Northwest Georgia Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rome, GA
National Provider Identifier
1346030095
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NORTHWEST GEORGIA BEHAVIORAL HEALTH
Practice address
4 Turner Bend Rd SW
Rome, GA 30165-9297
Phone
(440) 296-4555
NPI assigned
May 7, 2025
Last updated
May 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Charlie Campbell
Title
President
Phone
(904) 302-3202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

4 Turner Bend Rd SW
Rome, GA 30165-9297

Mailing address

4 Turner Bend Rd SW
Rome, GA 30165-9297
Phone (904) 302-3202

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2313499Northwest Georgia Behavioral Health, LLC4 Turner Bend Road, Rome, GA 30165Certificate of waiverOct 31, 2026

National Provider Directory

National Provider Directory

Locations

4 Turner Bend Rd SW
Rome, GA 30165
Phone (440) 296-4555

NPI Registry JSON

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1346030095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TURNER BEND RD SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301659297",
            "telephone_number": "904-302-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 TURNER BEND RD SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301659297",
            "telephone_number": "440-296-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST GEORGIA BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-302-3202"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.