● Active Type 2 · Organization
Riverstone Imaging Center
Clinic/Center·Blue Ridge, GA· NPI 1093882805
·
Enumerated 2006 · 19 years on NPI
Riverstone Imaging Center is 1 of 144 clinic/center organizations in Georgia.
NPI age
19 years
Enumerated 2006-11-29
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Davis
Chief Financial Officer
Last NPPES update
2010-08-31
Source: monthly bulk 2026-05
How this organization compares
Across 144 active clinic/center providers in Georgia.
NPI age
19 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
101 Riverstone Vis
Blue Ridge, GA 305136648
📞 7062584120
Mailing address
101 Riverstone Vis
Blue Ridge, GA 305136648
📞 7062584120
Authorized official
Jody Davis, CFO
Chief Financial Officer
📞 7062584133
Individual providers at this organization
17 individual providers on file at this primary practice address.
-
Tracy Allen, P.A.
Physician Assistant
NPI 1124036520
-
Judith Boivin, R.N.,LCSW, ACSW
Social Worker
NPI 1538393442
-
Edward Boye, LPC
Counselor
NPI 1982636767
-
Charles Dooley, R.PH.
Pharmacist
NPI 1932227220
-
Elias Issa, MD
Internal Medicine
NPI 1053305888
-
Ashley Jones
Physical Therapist
NPI 1245483718
-
Jacqueline Malloy, ARNP
Nurse Practitioner
NPI 1861445447
-
Philip Mills, MD
Dermatology
NPI 1487610945
-
Lindsey Niknezhad, PA-C
Physician Assistant
NPI 1194272542
-
Laura Parker, LPC
Counselor
NPI 1124280011
-
Brittany Perslin, APRN, FNP-BC
Nurse Practitioner
NPI 1336410059
-
Shannon Pitman, M.D.
Family Medicine
NPI 1982773891
-
Deborah Reynolds, FNP-C
Nurse Practitioner
NPI 1609882026
-
Lee Tidman, CNP
Nurse Practitioner
NPI 1316947260
-
Raymond Tidman, MD
Family Medicine
NPI 1588663686
-
Frank Trigg, M.D.
Internal Medicine
NPI 1174522262
-
Marilyn Williams, NP
Nurse Practitioner
NPI 1881655728
Identifiers
| Type | Value | Notes |
| 05 (GA) |
085001714G |
|
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
17 individual providers on file at this primary address.
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How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.