Bobby Dodd Institute

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

BOBBY DODD INSTITUTE

Doing business as

BDI

Practice address

2120 Marietta Blvd NW
Atlanta, GA 30318-2122

Phone

(678) 365-0071

NPI assigned

Jul 10, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Veronica Rohrlack

Title

VP of Administrative Services

Phone

(678) 365-2264

Specialties & licenses 13

Addresses

Other names 1

• BDI Doing business as

Locations

Practitioners 3

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

• Veronica Lea Damron, LCSW

  • Clinical Social Worker
  • Altus, OK
  • NPI 1922242106
  NPD
• Anna A Maki

  • Case Manager/Care Coordinator
  • Atlanta, GA
  • NPI 1407503469
  NPD (past)
• Cara Darise Waiswilos, MS, APC, CRC, NCC

  • Counselor
  • Atlanta, GA
  • NPI 1720628068
  NPD (past)

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1497307425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 MARIETTA BLVD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182122",
            "telephone_number": "678-365-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 MARIETTA BLVD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182122",
            "telephone_number": "678-365-0071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Stockbridge Rd",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "GA",
            "postal_code": "302363628",
            "country_code": "US",
            "telephone_number": "678-365-0071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOBBY DODD INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "ROHRLACK",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "VP OF ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "678-365-2264",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BDI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emyshia Boatwright
• Bob Schumacher, D.C., P.C.
• Kaylin Bob
• Bobb G Cucher MD and Caroline M Abruzese MD LLC
• Brian Shawn Bobb, M.D.
• Douglas B Bober, MD
• Lauren R Bober, PT
• Hansley Bobo, MD
• Katherine Sonja Bobrek
• Sophia Bobrek, PA

• Case Management Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Case Management Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.