BHG LXVI, LLC
NPI 1003510520
Psychiatry & Neurology - Addiction Medicine in Jackson, GA

Q: What is Bhg Lxvi, LLC's NPI number?

The NPI number for Bhg Lxvi, LLC is 1003510520. It was assigned to this organization in the NPPES registry on March 28, 2023. The provider is doing business as BHG Medical Services - Georgia.

Q: What is Bhg Lxvi, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Q: When was this NPI record last updated?

The NPPES record for Bhg Lxvi, LLC was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 28, 2023CLIA 11D2300571 · Waiver

794 MCDONOUGH ROAD, SUITE #104, OBOT ROOM #100, JACKSON, GA 30233(770) 775-9044(770) 775-9075 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2025, Dec 18, 2024, Sep 23, 2024 and 1 more (4 updates tracked since 2023).

On this page

About Bhg Lxvi, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BHG LXVI, LLC (NPI 1003510520), doing business as Bhg Medical Services - Georgia, is a healthcare organization registered as an addiction medicine in Jackson, Georgia and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through March 12, 2028 and lists Zack Ragsdale, Director, as its authorized official.

NPPES Registry Identity

NPI1003510520

Entity TypeOrganization

Primary Taxonomy2084A0401X

Legal Business NameBHG LXVI, LLC

Location Address794 MCDONOUGH ROAD, SUITE #104, OBOT ROOM #100Jackson, GA 30233-1572

Mailing Address5001 Spring Valley Road, Suite 600 EastDallas, TX 75244-3946 · (214) 365-6100 · Fax (214) 365-6150

Phone(770) 775-9044

Fax(770) 775-9075

Organization SubpartNo

Authorized OfficialZack RagsdaleDirector · (512) 454-5911

Enumeration DateMarch 28, 2023

Last NPPES UpdateApril 7, 20254 updates tracked since enumeration

NPPES CertifiedApril 7, 2025

✔ NPI 1003510520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2084A0401X

Definition

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

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedAnesthesiology · Addiction MedicineTaxonomy 207LA0401X

Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X

Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X

Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

794 MCDONOUGH ROAD, Jackson, GA 30233

Open in Google Maps ↗

Other Names 1

Doing Business AsBhg Medical Services - Georgia

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2300571

Bhg Lxvi, LLC Dba Bhg Medical Services - Georgia · Jackson, GA

Active · expires Mar 12, 2028

CLIA Number11D2300571

Laboratory TypeOpioid Treatment

Certificate Effective DateMarch 13, 2026

Certificate Expiration DateMarch 12, 2028

Laboratory DirectorMonica Rooks

Laboratory Phone(770) 775-9044

Laboratory LocationBhg Lxvi, LLC Dba Bhg Medical Services - Georgia794 Mcdonough Road, Suite #104, Obot Room #100, Jackson, GA 30233

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bhg Lxvi, LLC's NPI number?

The NPI number for Bhg Lxvi, LLC is 1003510520. It was assigned to this organization in the NPPES registry on March 28, 2023. The provider is doing business as BHG Medical Services - Georgia.

Where is Bhg Lxvi, LLC located?

Bhg Lxvi, LLC is located at 794 Mcdonough Road Suite #104, Obot Room #100, Jackson, GA 30233. The listed phone number is (770) 775-9044.

What is Bhg Lxvi, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Does Bhg Lxvi, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2300571) is associated with this NPI, valid through March 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bhg Lxvi, LLC was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.