Organization · Type 2 NPI

BHG Lxvi, LLC

Addiction Medicine (Psychiatry & Neurology) Physician · Bremen, GA

NPI number 1811596646 Active

Practice location

1021 Alabama Avenue
Bremen, GA 30110

Call (770) 537-7007 Map

Mailing address

5001 Spring Valley Road, Suite 600 East
Dallas, TX 75244

Specialties and licenses

Taxonomy	Code	License
Addiction Medicine (Family Medicine) Physician	207QA0401X	None listed
Addiction Medicine (Internal Medicine) Physician	207RA0401X	None listed
Addiction Medicine (Preventive Medicine) Physician	2083A0300X	None listed
Addiction Medicine (Psychiatry & Neurology) Physician Primary	2084A0401X	None listed
Nurse Practitioner	363L00000X	None listed
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	None listed

Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

NPI record

NPI: 1811596646
Entity type: Organization (Type 2)
Issued: Oct 22, 2020
Last updated: Apr 7, 2025
Status: Active

Other names

<unavail>
BHG Medical Services-Bremen · doing business as
BHG Medical Services-Bremen · doing business as

Authorized official

Zack Ragsdale
Cred Account Manager
(512) 454-5911

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1811596646

BHG Lxvi, LLC's National Provider Identifier is 1811596646, issued on Oct 22, 2020. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Bremen, GA. The record was last updated on Apr 7, 2025.