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NPI 1518440254
● Active Type 2 · Organization
Subpart
Prime Healthcare Foundation - Southern Regional, Llc
Psychiatric Unit · Riverdale, GA · NPI 1518440254
·
Enumerated 2018 · 7 years on NPI
Prime Healthcare Foundation - Southern Regional, Llc is 1 of 57 psychiatric unit organizations in Georgia.
NPI age
7 years
Enumerated 2018-09-10
Primary specialty
Psychiatric Unit
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Doan
Compliance Officer
Last NPPES update
2018-09-10
Source: monthly bulk 2026-05
How this organization compares
Across 57 active psychiatric unit providers in Georgia.
NPI age
7 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2018 → 2026
2018-09 Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
11 Upper Riverdale Rd Sw
Riverdale, GA 302742615
📞 7709918160 fax 7709092595
Mailing address
11 Upper Riverdale Rd Sw
Riverdale, GA 302742615
📞 7709918160 fax 7709092595
Authorized official
Christopher Doan
Compliance Officer
📞 3102594706
Individual providers at this organization
20 individual providers on file at this primary practice address.
Gena Abrams-Cardoza , P.T.
Physical Therapist
NPI 1649470105
Adegboyega Aderibigbe , M.D.
Pediatrics
NPI 1912960048
Jumoke Alim , MD
Emergency Medicine
NPI 1548212830
Bashar Alramahi , MD
Surgery
NPI 1881045268
David Asrael , MD
Emergency Medicine
NPI 1386694511
John Black , MD
Radiology
NPI 1548247729
Geetha Bommana , MD
Internal Medicine
NPI 1811475114
Aparna Bondalapati
Student in an Organized Health Care Education/Training Program
NPI 1487408480
Michael Bourland , MD
Emergency Medicine
NPI 1194885673
Harold Brusman , M.D.
Pathology
NPI 1699737163
Christopher Campo , MD
Pathology
NPI 1316183031
Joleen Dako , MD
Pediatrics
NPI 1710294491
Ida Dunn , NP
Nurse Practitioner
NPI 1811947112
Carrie Edwards
Emergency Medicine
NPI 1598715856
Laleh Ehsani , M.D.
Pathology
NPI 1811286446
Amarachi Ekeh-Clarke , MD
Internal Medicine
NPI 1184477812
Anthonia Ekpenike , M.B.B.S
Internal Medicine
NPI 1659577484
Akeem Flemister , M.D.
Emergency Medicine
NPI 1376806455
Antonio Gomes , PA
Physician Assistant
NPI 1861410490
Elizabeth Hadley , MD
Radiology
NPI 1447237656
Specialties
Psychiatric Unit
Primary
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of...
GA license #031-710 taxonomy 273R00000X
Identifiers
Type Value Notes
05 (GA)
000000404A
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Southern Regional Medical Center
Type code 3
recorded 2018-09-10
Southern Regional Medical Center
Type code 3
recorded 2018-09-07
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
Subpart of Prime Healthcare Foundation - Southern Regional, Llc .
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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.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.