NPIMap

Organization Active NPI

Bethany Christian Services of Georgia

  • Community/Behavioral Health Agency
  • Atlanta, GA
National Provider Identifier
1710186697
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CP0000040035 Issued in GA
Legal business name
BETHANY CHRISTIAN SERVICES OF GEORGIA
Practice address
6645 Peachtree Dunwoody Rd NE
Atlanta, GA 30328-1606
Phone
(770) 455-7111
Fax
(770) 274-3000
NPI assigned
Jul 12, 2007
Last updated
Jul 12, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
BETHANY CHRISTIAN SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Mrs. Trish H. Small, M.ED.
Title
Executive Director
Phone
(770) 274-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CP0000040035 GA Primary

Addresses

Primary practice location

6645 Peachtree Dunwoody Rd NE
Atlanta, GA 30328-1606

Mailing address

6645 Peachtree Dunwoody Rd NE
Atlanta, GA 30328-1606
Phone (770) 455-7111

National Provider Directory

National Provider Directory
Part of
Bethany Christian Servi

Locations

13 Corporate Blvd NE
Ste 107
Brookhaven, GA 30329
Phone (770) 455-7111

6645 Peachtree Dunwoody Rd
Sandy Springs, GA 30328
Phone (770) 455-7111

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.

Practitioners & affiliated clinicians

Practitioners 59

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.

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1710186697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6645 PEACHTREE DUNWOODY RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303281606",
            "telephone_number": "770-455-7111",
            "fax_number": "770-274-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6645 PEACHTREE DUNWOODY RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303281606",
            "telephone_number": "770-455-7111",
            "fax_number": "770-274-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY CHRISTIAN SERVICES OF GEORGIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BETHANY CHRISTIAN SERVICES, INC.",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "TRISH",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "770-274-3400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CP0000040035",
            "primary": true
        }
    ],
    "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 12, 2007; 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.