Eating Disorder Recovery Center of Athens, PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PSY002033 Issued in GA

Legal business name

EATING DISORDER RECOVERY CENTER OF ATHENS, PC

Practice address

1 Huntington Rd
Suite 801
Athens, GA 30606-7204

Phone

(706) 552-0450

Fax

(706) 850-7211

NPI assigned

Jun 20, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Ann Weitzman Swain, PH. D.NPI 1033281779

Title

Owner

Phone

(706) 552-0450

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Tax ID family

Eating Disorder Recovery Center of Athens PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Eating Disorders Recovery Center

  • Psychologist
  • Athens, GA
  • NPI 1295807816
  NPD tax ID

Practitioners 1

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

• Ann Weitzman-Swain, PH.D.

  • Psychologist
  • Athens, GA
  • NPI 1033281779
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1851730089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON RD",
            "address_2": "SUITE 801",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067204",
            "telephone_number": "706-552-0450",
            "fax_number": "706-850-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON RD",
            "address_2": "SUITE 801",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067204",
            "telephone_number": "706-552-0450",
            "fax_number": "706-850-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATING DISORDER RECOVERY CENTER OF ATHENS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "WEITZMAN SWAIN",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-552-0450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "PSY002033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003111010A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Bryon Eagleson, MD
• Margaret M. Earnest, RD
• East Athens Family Vision, LLC
• East Athens Physical Therapy Inc
• Kjesti Easton, MA
• Eating Disorders Recovery Center
• Mark H Ebell, M.D.
• Lindsey Eberhart, CST
• Kelsey Eberlin, PHARM.D.
• Fredrick Eckhardt, LMFT, LPC

• Community/Behavioral Health Agency in Athens, GA
• Providers in Athens, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.