Three Rivers Recovery and Wellness LLC

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

Legal business name

THREE RIVERS RECOVERY AND WELLNESS LLC

Practice address

84 E Oakland Ave
Camilla, GA 31730-1529

Phone

(229) 336-9769

NPI assigned

Jul 1, 2025

Last updated

Feb 4, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Antonio MillerNPI 1679041107

Title

President

Phone

(229) 449-6671

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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.

• Antonio Miller, RN

  • Family Nurse Practitioner
  • Camilla, GA
  • NPI 1679041107
  Medicare reassignment NPD Authorized official
• Vanessa Renee Christian, FNP-C

  • Family Nurse Practitioner
  • Leesburg, GA
  • NPI 1891520995
  Medicare reassignment NPD

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1699664060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 E OAKLAND AVE",
            "city": "CAMILLA",
            "state": "GA",
            "postal_code": "317301529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 E OAKLAND AVE",
            "city": "CAMILLA",
            "state": "GA",
            "postal_code": "317301529",
            "telephone_number": "229-336-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS RECOVERY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-01",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-449-6671"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Spann
• Brenda Stephens
• Jason E. Tew, D.C.
• Dedrick Thomas, BA SOCIOLOGY
• Robin Lyn Thomas, P.T.
• Total Renal Care Inc (Camilla Dialysis)
• Anozie A Ukaonu, MD
• Kitty M Van Meter, NP
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0843)
• Walgreen Co (Walgreens #12553)

• Addiction (Substance Use Disorder) Psychologist in Camilla, GA
• Providers in Camilla, GA by specialty
• Addiction (Substance Use Disorder) Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.