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NPI 1972085769
● Active Type 2 · Organization
Subpart
River Edge Behavioral Health Center
Pharmacy · Atlanta, GA · NPI 1972085769
·
Enumerated 2018 · 7 years on NPI
River Edge Behavioral Health Center is 1 of 1965 pharmacy organizations in Georgia.
NPI age
7 years
Enumerated 2018-08-29
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Oakes
Billing Manager
Last NPPES update
2018-08-29
Source: monthly bulk 2026-05
How this organization compares
Across 1965 active pharmacy providers in Georgia.
NPI age
7 years
↓ 12 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2018 → 2026
2018-08 Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
265 Boulevard Ne
Atlanta, GA 303121208
📞 4046658550 fax 4046658693
Mailing address
175 Emery Hwy
MacOn, GA 312173692
📞 4788037700 fax 4788038598
Authorized official
Jessica Oakes, DO
Billing Manager
📞 4788037809
Individual providers at this organization
20 individual providers on file at this primary practice address.
Julie Anderson Currie , MFT
Marriage & Family Therapist
NPI 1558378703
Frederick Bailey , CCADC
Counselor
NPI 1932389350
Camani Caston , LCSW
Social Worker
NPI 1407586530
Vivian Dawson , RN
Registered Nurse
NPI 1316018187
Chiazor Eziakor , DNP, PMHNP-BC, FNP-C
Nurse Practitioner
NPI 1831541754
Joann Farmer-Young , LPC
Counselor
NPI 1235233776
Cheryl Freeman , RN BSN
Registered Nurse
NPI 1730266750
Georgia Goseer , RN
Registered Nurse
NPI 1790856664
Carolyn Harris , RN
Registered Nurse
NPI 1689776502
Jakara Hood , RN
Registered Nurse
NPI 1124726690
Vicki Karnes , R.N.
Registered Nurse
NPI 1366810426
Cecelia MacK , LPC
Counselor
NPI 1114104478
Linda Martin Terrell , RN PHN
Registered Nurse
NPI 1588737175
Charlotte Newman , LPC
Counselor
NPI 1811903545
Illona Outlaw , REGISTERED NURSE RN
Registered Nurse
NPI 1639241250
Donna Real , LCSW
Social Worker
NPI 1801096466
Jasmine Taylor , M.D.
Psychiatry & Neurology
NPI 1316974447
Virginia Taylor MacK , RN
Counselor
NPI 1427231927
Ida Thomas , LCSW
Social Worker
NPI 1316953037
Mary Wells , BSN
Registered Nurse
NPI 1447337464
Specialties
Pharmacy
Primary
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
GA license #PHRE010434 taxonomy 3336C0003X
Identifiers
Type Value Notes
01 (GA)
PHRE010434
GEORGIA PHARMACY LICENSE
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
Subpart of River Edge Behavioral Health Center .
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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.