WILLOWBROOKE AT TANNER
NPI 1104066265
Psychiatric Unit in Villa Rica, GA

Active since March 03, 2009
601 DALLAS HWY, VILLA RICA, GA 30180(770) 456-3000(770) 456-3390 Get Directions Write a Review

NPPES record last updated: July 28, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Willowbrooke At Tanner NPPES

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

WILLOWBROOKE AT TANNER (NPI 1104066265) is a healthcare organization registered as a psychiatric unit in Villa Rica, Georgia and active in the NPI registry since March 2009. The organization lists Lee C. Sherseth, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104066265
Entity TypeOrganization
Primary Taxonomy273R00000X
Legal Business NameTMC/VILLA RICA HOSPITAL, INC
Location Address601 DALLAS HWYVilla Rica, GA 30180-1202
Mailing AddressPo Box 638Villa Rica, GA 30180-0638 · (770) 836-9666 · Fax (770) 456-3390
Fax(770) 456-3390
Organization SubpartYesParent: Tmc/villa Rica Hospital, Inc.
Authorized OfficialLee C. ShersethCfo · (770) 836-9697
Enumeration DateMarch 3, 2009
Last NPPES UpdateJuly 28, 2010
NPI 1104066265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric UnitHospital Units
Taxonomy Code273R00000X
Definition
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 physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
601 DALLAS HWY, Villa Rica, GA 30180

Other Names 1

Doing Business AsWillowbrooke At Tanner

Other Identifiers 2

Medicaid000002032AGA
Medicare OSCAR/certification11S015GA

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Acute Care)
601 DALLAS HWY
VILLA RICA, GA 30180
Dietitian, Registered
601 DALLAS HWY
VILLA RICA, GA 30180
Dietitian, Registered
601 DALLAS HWY
VILLA RICA, GA 30180
Nurse Practitioner (Acute Care)
601 DALLAS HWY
VILLA RICA, GA 30180
Registered Nurse
601 DALLAS HWY
VILLA RICA, GA 30180
Nurse Anesthetist, Certified Registered
601 DALLAS HWY
VILLA RICA, GA 30180
Internal Medicine
601 DALLAS HWY
VILLA RICA, GA 30180
Registered Nurse (Perinatal)
601 DALLAS HWY
VILLA RICA, GA 30180

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 Tmc/Villa Rica Hospital, Inc's NPI number?

The NPI number for Tmc/Villa Rica Hospital, Inc is 1104066265. It was assigned to this organization in the NPPES registry on March 3, 2009. The provider is doing business as Willowbrooke At Tanner.

Where is Tmc/Villa Rica Hospital, Inc located?

Tmc/Villa Rica Hospital, Inc is located at 601 Dallas Hwy, Villa Rica, GA 30180. The listed phone number is (770) 456-3000.

What is Tmc/Villa Rica Hospital, Inc's specialty?

The primary specialty registered for this NPI is Psychiatric Unit with taxonomy code 273R00000X.

When was this NPI record last updated?

The NPPES record for Tmc/Villa Rica Hospital, Inc was last updated on July 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.