Active NPI
Hygeia Health
- Substance Abuse Rehabilitation Facility
- Riverdale, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- HYGEIA HEALTH
- Practice address
- 150 Medical Way Ste a
Riverdale, GA 30274-2533 - Phone
- (203) 803-7428
- NPI assigned
- May 1, 2025
- Last updated
- Aug 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ebenezer Adekunle Kolade, MD
- Title
- Vice President
- Phone
- (470) 903-2500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Methadone Clinic | 261QM2800X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
150 Medical Way Ste a
Riverdale, GA 30274-2533
Mailing address
150 Medical Way Ste a
Riverdale, GA 30274-2533
Phone (470) 903-2500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DRUG043370 | Other | GA | STATE OF GEORGIA DRUG ABUSE TREATMENT AND EDUCATION PERMIT |
| NTP044342 | Other | GA | GEORGIA DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2323720 | Hygeia Health | Certificate of waiver | May 12, 2027 |
National Provider Directory
National Provider DirectoryLocations
150 Medical Way
Ste A
Riverdale, GA 30274
Phone (203) 346-1904
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Addiction Medicine (Internal Medicine) Physician
- Bridgeport, CT
- NPI 1376618611
GA
-
- Addiction Medicine (Family Medicine) Physician
- Bridgeport, CT
- NPI 1275608879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785628800000",
"number": "1619766219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 MEDICAL WAY STE A",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302742533",
"telephone_number": "470-903-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 MEDICAL WAY STE A",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302742533",
"telephone_number": "203-803-7428"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HYGEIA HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-01",
"last_updated": "2026-08-02",
"certification_date": "2026-08-02",
"status": "A",
"authorized_official_last_name": "KOLADE",
"authorized_official_first_name": "EBENEZER",
"authorized_official_middle_name": "ADEKUNLE",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "470-903-2500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"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": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF GEORGIA DRUG ABUSE TREATMENT AND EDUCATION PERMIT",
"identifier": "DRUG043370",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES",
"identifier": "NTP044342",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverdale, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.