NPIMap

Organization Active NPI

Uhs of Summitridge, LLC

Doing business as SummitRidge Center for Psychiatry &Addictive Medicine

  • Psychiatric Hospital
  • Lawrenceville, GA
National Provider Identifier
1407021546
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
UHS OF SUMMITRIDGE, LLC
Doing business as
SummitRidge Center for Psychiatry &Addictive Medicine
Practice address
250 Scenic Hwy
Lawrenceville, GA 30046-5675
Phone
(678) 442-5800
NPI assigned
Apr 29, 2008
Last updated
Jun 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Authorized official

Name
Steve Filton
Title
Sr VP/Cfo
Phone
(610) 768-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

250 Scenic Hwy
Lawrenceville, GA 30046-5675

Mailing address

250 Scenic Hwy
Lawrenceville, GA 30046-5675
Phone (678) 442-5800

Other names 1

  • SummitRidge Center for Psychiatry &Addictive Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080820000441 GA Part A Provider - Hospital 5890860126 Practice locations: Lawrenceville, GA; Athens, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407021546. Details of each certification follow.

Hospital certification: CCN 114004

Legal name
UHS OF SUMMITRIDGE, LLC
Doing business as
SUMMITRIDGE HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Sep 10, 2008
Last certification
Dec 13, 2024
Beds
96
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Mar 17, 2008 in DE
Enrollment address
250 Scenic Hwy
Lawrenceville, GA 30046-5675
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Summitridge Center- Psychiatry & Addictive MedCCN 114004 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

250 Scenic Hwy
Ste 200
Lawrenceville, GA 30046

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
George H Brunner Individual Corporate OfficerAssistant Secretary Jun 9, 2008 100%
Vernell Nunn Individual Contracted Managing EmployeeCeo Feb 23, 2017 100%
Corporate OfficerCeo Feb 23, 2017 100%
Uhs of Georgia Holdings, Inc. Organization, King of Prussia, PA Corporation Limited Partnership Interest Jun 9, 2008 99%
Katharine M Lyver Individual Corporate OfficerAssistant Treasurer Jan 1, 2024 100%
Matthew D Klein Individual Corporate OfficerSecretary Oct 1, 2010 100%
Matthew J Peterson Individual Corporate OfficerPresident Sep 19, 2019 100%
Corporate DirectorPresident Sep 19, 2019 33.3%
Operational/Managerial ControlPresident Sep 19, 2019 100%
Thomas M Day Individual Corporate OfficerVice President Jul 20, 2021 100%
Corporate DirectorVice President Jul 20, 2021 33.3%
Tiffany D Ingram Individual Contracted Managing EmployeeCfo May 30, 2023
Corporate OfficerCfo May 30, 2023
Steve Filton Individual Corporate OfficerVice President & Board Member Sep 19, 2019 100%
Corporate DirectorVice President & Board Member Sep 19, 2019 33.33%
Cheryl K Ramagano Individual Corporate OfficerTreasurer Jun 9, 2008 100%
Uhs of Georgia Inc Organization, King of Prussia, PA Corporation General Partnership Interest Jun 9, 2008 1%
Universal Health Services Inc Organization, King of Prussia, PA Corporation 5% Or Greater Indirect Ownership Interest Jun 9, 2008 100%
James M Coleman Individual Contracted Managing EmployeeSenior Reimbursement Manager Jun 9, 2008 50%
Uhs of Delaware Inc Organization, King of Prussia, PA Corporation Operational/Managerial Control Jan 1, 2014 100%
Uhs of Peachford, L.P. Organization, Atlanta, GA 5% Or Greater Direct Ownership Interest Jun 9, 2008 100%
Alan B Miller Individual 5% Or Greater Direct Ownership Interest Jun 9, 2008

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Uhs of Peachford LP

    dba Peachford Behavioral Health System of Atlanta

    • Psychiatry Physician
    • Atlanta, GA
    • NPI 1124207220

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Uhs of Peachford, L.P.

    dba Peachford Behavioral Health System of Atlanta

    • Psychiatric Hospital
    • Atlanta, GA
    • NPI 1093781544

    5% Or Greater Direct Ownership Interest

    CMS ownership

Facilities with the same owner 172

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 172

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

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": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1407021546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 SCENIC HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465675",
            "telephone_number": "678-442-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SCENIC HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465675",
            "telephone_number": "678-442-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS OF SUMMITRIDGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2019-06-14",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SR VP/CFO",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SummitRidge Center for Psychiatry &Addictive Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SummitRidge Center for Psychiatry &Addictive Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.