BHG Lxvi, LLC

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

Legal business name

BHG LXVI, LLC

Doing business as

BHG Medical Services-Bremen

Practice address

1021 Alabama Avenue
Bremen, GA 30110

Phone

(770) 537-7007

NPI assigned

Oct 22, 2020

Last updated

Apr 7, 2025By 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

Zack Ragsdale

Title

Cred Account Manager

Phone

(512) 454-5911

Specialties & licenses 6

Addresses

Other names 1

• BHG Medical Services-Bremen Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• BHG Lxvi, LLC

  dba BHG Medical Services - Georgia

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Jackson, GA
  • NPI 1003510520

  O20211105000986

  Same enrollment
• BHG Lxvi, LLC

  dba BHG Medical Services - Georgia

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Tifton, GA
  • NPI 1043914591

  O20211105000986

  Same enrollment
• BHG Lxvi, LLC

  dba BHG Medical Services - Georgia

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Albany, GA
  • NPI 1831893353

  O20211105000986

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

BHG Lxvi LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• BHG Lxvi, LLC

  dba BHG Medical Services - Georgia

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Jackson, GA
  • NPI 1003510520
  NPD tax ID
• BHG Lxvi, LLC

  dba BHG Medical Services - Georgia

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Tifton, GA
  • NPI 1043914591
  NPD tax ID
• BHG Lxvi, LLC

  dba BHG Medical Services - Georgia

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Albany, GA
  • NPI 1831893353
  NPD tax ID

Practitioners 6

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.

• Tiffany Merritt Fallin, NP

  • Family Nurse Practitioner
  • Cordele, GA
  • NPI 1801140769
  Medicare reassignment NPD
• Dawn Marie Floyd, NP

  • Nurse Practitioner
  • Tifton, GA
  • NPI 1346539533
  Medicare reassignment NPD
• Laura Catherine Bowman, M.D.

  • Addiction Medicine (Preventive Medicine) Physician
  • Atlanta, GA
  • NPI 1588985766
  Medicare reassignment
• James L Graham Jr., MD

  • Family Medicine Physician
  • Tifton, GA
  • NPI 1730182106
  Medicare reassignment
• Kayla Danielle Howard, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tifton, GA
  • NPI 1982287736
  Medicare reassignment
• Auriel Renae Lewis, NP

  • Family Nurse Practitioner
  • Jackson, GA
  • NPI 1184321796
  Medicare reassignment

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1811596646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 SPRING VALLEY ROAD",
            "address_2": "SUITE 600 EAST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75244",
            "telephone_number": "214-365-6100",
            "fax_number": "214-365-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 ALABAMA AVENUE",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "30110",
            "telephone_number": "770-537-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHG LXVI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "RAGSDALE",
        "authorized_official_first_name": "ZACK",
        "authorized_official_title_or_position": "CRED ACCOUNT MANAGER",
        "authorized_official_telephone_number": "512-454-5911"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BHG Medical Services-Bremen",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BHG Medical Services-Bremen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terri Barger, APRN
• Carol Renee Bassett
• Curtis A Batchelor, M.D.
• Ashley Benitez
• Sheila Best, MD
• Bio-Medical Applications of Georgia, Inc. (Fresenius Medical Care Bremen)
• Stephen James Blank, DMD
• Lisa Ann Bradley, LAPC
• Whitney Brannon, NP
• Bremen City School System

• Addiction Medicine (Psychiatry & Neurology) Physician in Bremen, GA
• Providers in Bremen, GA by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.