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BHG LXVI, LLC
NPI 1043914591
Psychiatry & Neurology - Addiction Medicine in Tifton, GA

Active since March 29, 2023CLIA Certified · 2 labs
2402 TIFT AVENUE NORTH, SUITE #202, OBOT ROOM #100, TIFTON, GA 31794(229) 382-7808(229) 386-5818 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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

About Bhg Lxvi, Llc NPPES

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

BHG LXVI, LLC (NPI 1043914591), doing business as Bhg Medical Services - Georgia, is a healthcare organization registered as an addiction medicine in Tifton, Georgia and active in the NPI registry since March 2023. The organization holds 2 active CLIA laboratory certificates and lists Zack Ragsdale, Director, as its authorized official.

NPPES Registry Identity

NPI1043914591
Entity TypeOrganization
Primary Taxonomy2084A0401X
Legal Business NameBHG LXVI, LLC
Location Address2402 TIFT AVENUE NORTH, SUITE #202, OBOT ROOM #100Tifton, GA 31794-1885
Mailing Address5001 Spring Valley Road, Suite 600 EastDallas, TX 75244-3946 · (214) 365-6100 · Fax (214) 365-6150
Phone(229) 382-7808
Fax(229) 386-5818
Organization SubpartNo
Authorized OfficialZack RagsdaleDirector · (512) 454-5911
Enumeration DateMarch 29, 2023
Last NPPES UpdateApril 7, 20254 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
✔ NPI 1043914591 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
2402 TIFT AVENUE NORTH, Tifton, GA 31794
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bhg Lxvi, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Bhg Lxvi, LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Kayla Howard, FNP-C, PMHNP-BC
Nurse Practitioner
NPI 1982287736
2402 TIFT AVE N
Tifton, GA 31794
(229) 382-7898
✔ PECOSSame address
Dawn Floyd, NP
Nurse Practitioner
NPI 1346539533
901 18TH ST E
Tifton, GA 31794
(229) 353-6124
✔ PECOS✔ Accepts Medicare0.8 mi
James Graham, MD
Family Practice
NPI 1730182106
2225 US HIGHWAY 41 N
Tifton, GA 31794
(229) 391-4100
✔ PECOS✔ Accepts Medicare0.9 mi
Tiffany Fallin, NP
Nurse Practitioner
NPI 1801140769
902 N 7TH ST
Cordele, GA 31015
(229) 276-3100
✔ PECOS35 mi
Auriel Lewis, NP
Nurse Practitioner
NPI 1184321796
794 MCDONOUGH RD STE 104
Jackson, GA 30233
(770) 775-9044
✔ PECOS129 mi
Laura Bowman, M.D.
Preventive Medicine
NPI 1588985766
6255 BARFIELD RD NE STE 175
Atlanta, GA 30328
(404) 255-8388
✔ PECOS✔ Accepts Medicare176 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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 11D2300582

Bhg Lxvi, LLC Dba Bhg Medical Services - Georgia · Tifton, GA
Active · expires Mar 12, 2028
CLIA Number11D2300582
Laboratory TypeOffice Based Opioid
Certificate Effective DateMarch 13, 2026
Certificate Expiration DateMarch 12, 2028
Laboratory DirectorJaime Rycroft
Laboratory Phone(229) 382-7808
Laboratory LocationBhg Lxvi, LLC Dba Bhg Medical Services - Georgia2402 Tift Avenue North Suite 201 & 202, Obot Room 100, Tifton, GA 31794
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D1088341

Bhg Xlv, LLC Dba Bhg Tifton Treatment Center · Tifton, GA
Active · expires Aug 24, 2028
CLIA Number11D1088341
Laboratory TypeSubstance Abuse Treatment
Certificate Effective DateAugust 25, 2026
Certificate Expiration DateAugust 24, 2028
Laboratory DirectorJaime Rycroft
Laboratory Phone(229) 382-7808
Laboratory LocationBhg Xlv, LLC Dba Bhg Tifton Treatment Center2402 Tift Avenue North, Suite 201 & 202, Tifton, GA 31794
CLIA data matches this NPI record on: Address 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 1043914591. It was assigned to this organization in the NPPES registry on March 29, 2023. The provider is doing business as BHG Medical Services - Georgia.

Where is Bhg Lxvi, LLC located?

Bhg Lxvi, LLC is located at 2402 Tift Avenue North Suite #202, Obot Room #100, Tifton, GA 31794. The listed phone number is (229) 382-7808.

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.

Is Bhg Lxvi, LLC enrolled in Medicare?

Yes. Bhg Lxvi, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bhg Lxvi, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Bhg Lxvi, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), Family Practice (1) and Preventive Medicine (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bhg Lxvi, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 18 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.