Organization Active NPI

Ridge Way Mental Health Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Buford, GA
National Provider Identifier
1730063587
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RIDGE WAY MENTAL HEALTH SERVICES LLC
Practice address
1400 Buford Hwy Ste K2
Buford, GA 30518-8776
Phone
(404) 404-4660
NPI assigned
Aug 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Ashar Nakibuuka, DNPNPI 1396397295
Title
Nurse Practitioner
Phone
(508) 371-6255

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1400 Buford Hwy Ste K2
Buford, GA 30518-8776

Mailing address

1400 Buford Hwy Ste K2
Buford, GA 30518-8776
Phone (404) 404-4660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251017000101 GA Part B Supplier - Clinic/Group Practice 5294222766 Receives reassigned benefits from 1 practitioner
Practice locations: Sugar Hill, GA

National Provider Directory

National Provider Directory

Locations

1400 Buford Hwy
Ste F4
Buford, GA 30518

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1730063587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BUFORD HWY STE K2",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188776",
            "telephone_number": "404-404-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BUFORD HWY STE K2",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188776",
            "telephone_number": "404-404-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE WAY MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "NAKIBUUKA",
        "authorized_official_first_name": "ASHAR",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "508-371-6255",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.