Organization Active NPI

Raymir Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Covington, GA
National Provider Identifier
1497314900
Registry record updated Jun 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RAYMIR BEHAVIORAL HEALTH LLC
Practice address
2899 H D Atha Rd
Covington, GA 30014-0728
Phone
(678) 468-9295
Fax
(770) 728-4388
NPI assigned
Jun 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2019

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

Authorized official

Name
Raymond Polynice, MT.
Title
Chairman of the Board
Phone
(678) 468-8891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2899 H D Atha Rd
Covington, GA 30014-0728

Mailing address

2899 H D Atha Rd
Covington, GA 30014-0728
Phone (678) 468-9295

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1559952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559952000000",
    "number": "1497314900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2899 H D ATHA RD",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300140728",
            "telephone_number": "678-468-9295",
            "fax_number": "770-728-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2899 H D ATHA RD",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300140728",
            "telephone_number": "678-468-9295",
            "fax_number": "770-728-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMIR BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-08",
        "last_updated": "2019-06-08",
        "status": "A",
        "authorized_official_last_name": "POLYNICE",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "678-468-8891",
        "authorized_official_credential": "MT."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2019; 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.