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RIDGELINE RECOVERY LLC
NPI 1104710193
Family Medicine in Columbus, OH

Active since June 05, 2025CLIA 36D2302655 · Waiver
491 GEORGESVILLE RD, COLUMBUS, OH 43228(614) 618-5000(614) 618-9586 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ridgeline Recovery Llc NPPES

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

RIDGELINE RECOVERY LLC (NPI 1104710193) is a healthcare organization registered as a family medicine in Columbus, Ohio and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through April 11, 2028 and lists Brian Dean, Admin, as its authorized official.

NPPES Registry Identity

NPI1104710193
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRIDGELINE RECOVERY LLC
Location Address491 GEORGESVILLE RDColumbus, OH 43228-2420
Mailing Address491 Georgesville RdColumbus, OH 43228-2420 · (614) 618-5000 · Fax (614) 618-9586
Phone(614) 618-5000
Fax(614) 618-9586
Organization SubpartNo
Authorized OfficialBrian DeanAdmin · (614) 762-5206
Enumeration DateJune 5, 2025
NPPES CertifiedJune 5, 2025
✔ NPI 1104710193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
491 GEORGESVILLE RD, Columbus, OH 43228
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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 36D2302655

Ridgeline Recovery LLC · Columbus, OH
Active · expires Apr 11, 2028
CLIA Number36D2302655
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 12, 2026
Certificate Expiration DateApril 11, 2028
Laboratory DirectorAndrew R. Damec
Laboratory Phone(614) 618-5000
Laboratory LocationRidgeline Recovery LLC491 Georgesville Rd, Columbus, OH 43228
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MONTINA S. CARRINGTON
Counselor
491 GEORGESVILLE RD
COLUMBUS, OH 43228
Franklin County (614) 618-5000
EILEEN M. CUMBO
Registered Nurse
491 GEORGESVILLE RD
COLUMBUS, OH 43228
Franklin County (614) 526-1565
NYANZA GRIFFIN
Community Health Worker
491 GEORGESVILLE RD
COLUMBUS, OH 43228
Franklin County (614) 618-5000
MS. STEVI LA'SHELL KNIGHTON
Case Manager/Care Coordinator
491 GEORGESVILLE RD
COLUMBUS, OH 43228
Franklin County (614) 618-5000
KATIE MOUNTS
Registered Nurse
491 GEORGESVILLE RD
COLUMBUS, OH 43228
Franklin County (614) 618-5000
MARIQEZ MCCLAIN
Community Health Worker
491 GEORGESVILLE RD
COLUMBUS, OH 43228
Franklin County (614) 618-5000
TERRI LYNN BERGUNZI
Licensed Practical Nurse
491 GEORGESVILLE RD
COLUMBUS, OH 43228
Franklin County (614) 618-5000
LEON EDWARD RODGERS II
Community Health Worker
491 GEORGESVILLE RD
COLUMBUS, OH 43228
Franklin County (614) 618-5000

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 Ridgeline Recovery LLC's NPI number?

The NPI number for Ridgeline Recovery LLC is 1104710193. It was assigned to this organization in the NPPES registry on June 5, 2025.

Where is Ridgeline Recovery LLC located?

Ridgeline Recovery LLC is located at 491 Georgesville Rd, Columbus, OH 43228. The listed phone number is (614) 618-5000.

What is Ridgeline Recovery LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Ridgeline Recovery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2302655) is associated with this NPI, valid through April 11, 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 Ridgeline Recovery LLC was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.