Organization Active NPI

Ridgeview Institute,Inc

  • Psychiatric Hospital
  • Smyrna, GA
National Provider Identifier
1346242682
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
033-304 Issued in GA
Legal business name
RIDGEVIEW INSTITUTE,INC
Practice address
3995 S Cobb Dr SE
Smyrna, GA 30080-6342
Phone
(770) 434-4567
Fax
(770) 431-7045
NPI assigned
Jun 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Authorized official

Name
Mrs. Monica Tippett
Title
Cfo
Phone
(770) 434-4568

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 033-304 GA Primary
Rehabilitation Hospital 283X00000X 033-304 GA

Addresses

Primary practice location

3995 S Cobb Dr SE
Smyrna, GA 30080-6342

Mailing address

3995 S Cobb Dr SE
Smyrna, GA 30080-6342
Phone (770) 434-4567

Other identifiers 2

IdentifierTypeStateIssuer
100091OtherGABCBS
58207755001OtherGACHAMPUS/TRICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1346242682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3995 S COBB DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806342",
            "telephone_number": "770-434-4567",
            "fax_number": "770-431-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3995 S COBB DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806342",
            "telephone_number": "770-434-4567",
            "fax_number": "770-431-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEVIEW INSTITUTE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "TIPPETT",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-434-4568",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "GA",
            "license": "033-304",
            "primary": true
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "GA",
            "license": "033-304",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "100091",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS/TRICARE",
            "identifier": "58207755001",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.