NPIMap

Organization Active NPI

George B. West Mental Health Foundation

Doing business as Skyland Trail

  • Mental Illness Community Based Residential Treatment Facility
  • Atlanta, GA
National Provider Identifier
1639268022
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
GEORGE B. WEST MENTAL HEALTH FOUNDATION
Doing business as
Skyland Trail
Practice address
1903 N Druid Hills Rd NE
Atlanta, GA 30319-4119
Phone
(404) 315-8333
Fax
(404) 315-9838
NPI assigned
Oct 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ricky Padgett
Title
Director of Finance
Phone
(404) 315-8333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1903 N Druid Hills Rd NE
Atlanta, GA 30319-4119

Mailing address

1903 N Druid Hills Rd NE
Atlanta, GA 30319-4119
Phone (404) 315-8333

Other names 1

  • Skyland Trail Doing business as

National Provider Directory

National Provider Directory

Locations

1903 N Druid Hills Rd NE
Brookhaven, GA 30319
Phone (404) 315-8333

Practitioners & affiliated clinicians

Practitioners 6

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": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639268022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 N DRUID HILLS RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303194119",
            "telephone_number": "404-315-8333",
            "fax_number": "404-315-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 N DRUID HILLS RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303194119",
            "telephone_number": "404-315-8333",
            "fax_number": "404-315-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE B. WEST MENTAL HEALTH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PADGETT",
        "authorized_official_first_name": "RICKY",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "404-315-8333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skyland Trail",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.