Individual provider Active NPI

Beth Rudegeair, LCSW, CGP

  • Group Psychotherapy Psychologist
  • Atlanta, GA
National Provider Identifier
1669466157
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
License
001997 Issued in GA
Practice address
2250 N Druid Hills Rd NE
Ste. 252
Atlanta, GA 30329-3192
Phone
(404) 325-8003
Fax
(404) 325-5310
NPI assigned
Sep 12, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 001997 GA
Group Psychotherapy Psychologist 103TP2701X 001997 GA Primary
Psychologist 103T00000X 001997 GA
Clinical Social Worker 1041C0700X 001997 GA
Marriage & Family Therapist 106H00000X 001997 GA

Addresses

Primary practice location

2250 N Druid Hills Rd NE
Ste. 252
Atlanta, GA 30329-3192

Mailing address

2250 N Druid Hills Rd NE
Ste. 252
Atlanta, GA 30329-3192
Phone (404) 325-8003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001997GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woodfin J. Threlkeld, MSW, LCSW, Inc. Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1669466157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 N DRUID HILLS RD NE",
            "address_2": "STE. 252",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293192",
            "telephone_number": "404-325-8003",
            "fax_number": "404-325-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 N DRUID HILLS RD NE",
            "address_2": "STE. 252",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293192",
            "telephone_number": "404-325-8003",
            "fax_number": "404-325-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDEGEAIR",
        "first_name": "BETH",
        "credential": "LCSW, CGP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "001997",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "GA",
            "license": "001997",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "001997",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "001997",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "001997",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 13, 2026; 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.