NPIMap

Organization Active NPI

Personal Recovery Network LLC

Doing business as Georgia Behavioral Health Professionals

  • Psychiatry Physician
  • Cumming, GA
National Provider Identifier
1598124695
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PERSONAL RECOVERY NETWORK LLC
Doing business as
Georgia Behavioral Health Professionals
Practice address
5965 Parkway North Blvd
Suite C
Cumming, GA 30040-1430
Phone
(770) 886-5700
Fax
(770) 886-0404
NPI assigned
Feb 17, 2016
Organization subpart
Yes
Parent organization
PERSONAL RECOVERY NETWORK LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Miss Ashley Nichols Tagtachian
Title
Administrator
Phone
(770) 548-2589

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

5965 Parkway North Blvd
Suite C
Cumming, GA 30040-1430

Mailing address

5965 Parkway North Blvd
Suite C
Cumming, GA 30040-1430
Phone (770) 886-5700

Other names 1

  • Georgia Behavioral Health Professionals Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Personal Recovery Netwrk9 organizations share this tax ID, including this one
Part of
Personal Recovery Netwrk

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5965 Parkway North Blvd
Ste C
Cumming, GA 30040
Phone (770) 475-8014

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1598124695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5965 PARKWAY NORTH BLVD",
            "address_2": "SUITE C",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401430",
            "telephone_number": "770-886-5700",
            "fax_number": "770-886-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5965 PARKWAY NORTH BLVD",
            "address_2": "SUITE C",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401430",
            "telephone_number": "770-886-5700",
            "fax_number": "770-886-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL RECOVERY NETWORK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERSONAL RECOVERY NETWORK LLC",
        "enumeration_date": "2016-02-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TAGTACHIAN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "NICHOLS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-548-2589",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgia Behavioral Health Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.