Organization Active NPI

St. Ruth Behavioral Health LLC

  • Nurse Practitioner
  • Tucker, GA
National Provider Identifier
1972460194
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
ST. RUTH BEHAVIORAL HEALTH LLC
Practice address
1841 Montreal Rd Ste 110E
Tucker, GA 30084-5713
Phone
(678) 789-7299
NPI assigned
Jan 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Nadege PoneNPI 1265179576
Title
Owner
Phone
(678) 789-7299

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
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

1841 Montreal Rd Ste 110E
Tucker, GA 30084-5713

Mailing address

939 Ashton Park CT
Lawrenceville, GA 30045-7055

National Provider Directory

National Provider Directory

Locations

1841 Montreal Rd
Ste 110E
Tucker, GA 30084
Phone (678) 789-7299

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": "1767830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1972460194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 ASHTON PARK CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300457055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 MONTREAL RD STE 110E",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845713",
            "telephone_number": "678-789-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. RUTH BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "PONE",
        "authorized_official_first_name": "NADEGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-789-7299"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.