RIVER EDGE BEHAVIORAL HEALTH CENTER (NPI# 1023204864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023204864 |
| Entity Type | Organization |
| Organization Name | RIVER EDGE BEHAVIORAL HEALTH CENTER |
| Practice Address |
952 Main St Jeffersonville GA 31044-3727 |
| Mailing Address |
175 Emery Hwy Macon GA 31217-3692 |
| Practice Telephone | 4787514507 |
| Mailing Telephone | 4787514507 |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2007-09-14 |
| Authorized Official Name | MRS. EMILY BETH TYLER (CFO) |
| Authorized Official Telephone | 4787523231 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00604194N | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467965848 | River Edge Behavioral Health Center | Community/Behavioral Health | 7741 Roswell Rd Ste A, Atlanta, GA 30350-4845 | 2017-11-08 |
| 1164961876 | River Edge Behavioral Health Center | Community/Behavioral Health | 281 Carl Vinson Pkwy, Suite D, Warner Robins, GA 31088-5824 | 2017-02-14 |
| 1730483306 | River Edge Behavioral Health Center | Community/Behavioral Health | 1881 Twin Pines Dr, Macon, GA 31211-1237 | 2010-12-22 |
| 1164732384 | River Edge Behavioral Health Center | Community/Behavioral Health | 1243 First Ave, Macn, GA 31204-4177 | 2010-10-21 |
| 1669668414 | River Edge Behavioral Health Center | Community/Behavioral Health | 530 Settlement Rd Ste A, Gray, GA 31032-6030 | 2007-09-14 |
| 1295899466 | River Edge Behavioral Health Center | Community/Behavioral Health | 750 Baconsfield Dr, Macon, GA 31211-1491 | 2006-12-21 |
| 1962564963 | River Edge Behavioral Health Center | Community/Behavioral Health | 4164 Riggins Mill Rd, Macon, GA 31217-5440 | 2006-12-15 |
| 1487716577 | River Edge Behavioral Health Center | Community/Behavioral Health | 151 Childs St, Gray, GA 31032-5637 | 2006-12-14 |
| 1104988351 | River Edge Behavioral Health Center | Community/Behavioral Health | 626 Spring St, Macon, GA 31201-2028 | 2006-12-14 |
| 1013079268 | River Edge Behavioral Health Center | Community/Behavioral Health | 217a Emery Hwy, Macon, GA 31217-3615 | 2006-12-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RIVER EDGE BEHAVIORAL HEALTH CENTER | 175 Emery Hwy, Macon, GA 31217-3692 |
| Street Address |
952 MAIN ST |
| City | JEFFERSONVILLE |
| State | GA |
| Zip Code | 31044-3727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366857609 | Twiggs County Public Schools | Registered Nurse | 952 Main St, Jeffersonville, GA 31044-3727 | 2014-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194996421 | Community Health Care Systems, Inc. | Clinic/Center | 101 Watson Rd, Jeffersonville, GA 31044 | 2008-03-14 |
| 1306853908 | Twiggs Department of Public Health | Public Health or Welfare | 26 Main St., Jeffersonville, GA 31044 | 2006-08-03 |
| 1033279021 | River Edge Behavorial Health Center | Community/Behavioral Health | 109 East Main St., Jeffersonville, GA 31044 | 2006-12-11 |
| 1518521418 | Her Own Incorporation | Non-emergency Medical Transport (VAN) | 470 Martin Luther King Blvd, Jeffersonville, GA 31044-3432 | 2019-04-25 |
| 1033329602 | Sims Healthcare, Inc | Pharmacy | 13762 Us Highway 80, Jeffersonville, GA 31044-3509 | 2007-05-23 |
| 1134675549 | Michael Sims | Pharmacist | 13762 Us Highway 80, Jeffersonville, GA 31044-3509 | 2016-08-27 |
| 1265906960 | D'netra Latrice Young-lawal | Social Worker | 224 Main St, Jeffersonville, GA 31044-3642 | 2019-01-15 |
| 1356747885 | Crystal Stephens | Occupational Therapy Assistant | 61 Hillcrest Dr, Jeffersonville, GA 31044-3723 | 2014-11-11 |
| 1356687560 | Jeffersonville Healthcare & Rehab, LLC | Skilled Nursing Facility | 113 Spring Valley Rd, Jeffersonville, GA 31044-3917 | 2012-12-14 |
| 1932657616 | Jv Jeffersonville LLC | Skilled Nursing Facility | 113 Spring Valley Rd, Jeffersonville, GA 31044-3917 | 2016-09-12 |
| Find all providers in zip 31044 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831662980 | Elizabeth Tully, Lcsw, LLC | Community/Behavioral Health | 590 Missouri Ave Ste 206c, Jeffersonville, IN 47130-3084 | 2019-01-10 |
| 1861850232 | Family Ark | Community/Behavioral Health | 101 Noah's Ln, Jeffersonville, IN 47130 | 2016-02-01 |
| 1821402843 | Jacquelyn Bainbridge | Community/Behavioral Health | 30 Portage Pl, Jeffersonville, IN 47130-5782 | 2014-06-18 |
| 1437448297 | Res-care, Inc. | Community/Behavioral Health | 6200 E Highway 62, Suite 675, Jeffersonville, IN 47130-8769 | 2011-04-01 |
| 1841335650 | Lifespring, Inc | Community/Behavioral Health | 460 Spring Street, Jeffersonville, IN 47130 | 2007-02-20 |
| 1629533229 | Family and Childrens Place | Community/Behavioral Health | 100 W Court Ave, Jeffersonville, IN 47130-3502 | 2019-02-07 |
| 1063853620 | Family & Children's First, Inc | Community/Behavioral Health | 100 W Court Ave, Suite 102, Jeffersonville, IN 47130-3502 | 2013-07-11 |
| 1558502294 | River Edge Behavioral Health Center | Community/Behavioral Health | 109 E Main St, Jeffersonville, GA 31044-9426 | 2009-03-10 |
| 1194864843 | Wellstone Regional Hospital Acquisition LLC | Community/Behavioral Health | 2700 Vissing Park Rd, Jeffersonville, IN 47130-5943 | 2007-02-06 |
| 1033279021 | River Edge Behavorial Health Center | Community/Behavioral Health | 109 East Main St., Jeffersonville, GA 31044 | 2006-12-11 |
| Find all providers in JEFFERSONVILLE | ||||
| City | JEFFERSONVILLE |
| Zip Code | 31044 |
Please comment or provide details below to improve the information on RIVER EDGE BEHAVIORAL HEALTH CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.