NPIMap

Organization Active NPI

Restor Diabetes Care LLC

  • Clinic/Center
  • Woodstock, GA
National Provider Identifier
1992433882
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RESTOR DIABETES CARE LLC
Practice address
300 Parkbrooke PL Ste 150
Woodstock, GA 30189-7280
Phone
(706) 395-6451
NPI assigned
Aug 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Melissa Hood
Title
Revenue Cycle Manager
Phone
(912) 590-2184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

300 Parkbrooke PL Ste 150
Woodstock, GA 30189-7280

Mailing address

394 S Milledge Ave Ste 101
Athens, GA 30605-5626
Phone (706) 395-6451

Other practice location 1

394 S Milledge Ave
Athens, GA 30605-5626
Phone (706) 395-6451

Other practice location 2

2151 Homer Rd Ste 130
Commerce, GA 30529-1399
Phone (678) 426-8311

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230508002144 GA Part B Supplier - Clinic/Group Practice 7911362363 Receives reassigned benefits from 7 practitioners
Practice locations: Athens, GA; Woodstock, GA; Commerce, GA

National Provider Directory

National Provider Directory

Locations

394 S Milledge Ave
Ste 101
Athens, GA 30605

2151 Homer Rd
Ste 130
Commerce, GA 30529
Phone (678) 426-8311

Practitioners & affiliated clinicians

Practitioners 11

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": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1992433882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 S MILLEDGE AVE STE 101",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306055626",
            "telephone_number": "706-395-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PARKBROOKE PL STE 150",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301897280",
            "telephone_number": "706-395-6451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "394 S Milledge Ave",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306055626",
            "country_code": "US",
            "telephone_number": "706-395-6451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2151 Homer Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Commerce",
            "state": "GA",
            "postal_code": "305291399",
            "country_code": "US",
            "telephone_number": "678-426-8311",
            "fax_number": "706-786-0827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTOR DIABETES CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "HOOD",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "912-590-2184"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.