NPIMap

Organization Active NPI

BDT Treatment Services, Inc.

  • Early Intervention Provider Agency
  • Conyers, GA
National Provider Identifier
1790955680
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
MSW004363 Issued in GA
Legal business name
BDT TREATMENT SERVICES, INC.
Practice address
568 Medalist Way SE
Conyers, GA 30094-4181
Phone
(770) 679-5568
NPI assigned
Mar 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Mrs. Darlene L. Tiggs, LMSWNPI 1578853040
Title
Ceo
Phone
(770) 679-5568

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
Early Intervention Provider Agency 252Y00000X MSW004363 GA Primary

Addresses

Primary practice location

568 Medalist Way SE
Conyers, GA 30094-4181

Mailing address

568 Medalist Way SE
Conyers, GA 30094-4181
Phone (770) 679-5568

National Provider Directory

National Provider Directory

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": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1790955680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 MEDALIST WAY SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300944181",
            "telephone_number": "770-679-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 MEDALIST WAY SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300944181",
            "telephone_number": "770-679-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BDT TREATMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "TIGGS",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-679-5568",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "GA",
            "license": "MSW004363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.