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PREMIER BEHAVIORAL SERVICES INC
NPI 1316663719
Community/Behavioral Health in Riverdale, GA

Active since October 17, 2022CLIA Certified · 2 labs
203 MEDICAL WAY STE B, RIVERDALE, GA 30274(910) 258-7886 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Premier Behavioral Services Inc NPPES

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

PREMIER BEHAVIORAL SERVICES INC (NPI 1316663719) is a healthcare organization registered as a community/behavioral health in Riverdale, Georgia and active in the NPI registry since October 2022. The organization holds 2 active CLIA laboratory certificates and lists Santhosh Augustine, Owner, as its authorized official.

NPPES Registry Identity

NPI1316663719
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePREMIER BEHAVIORAL SERVICES INC
Location Address203 MEDICAL WAY STE BRiverdale, GA 30274-2517
Mailing Address2003 Godwin Ave Ste BLumberton, NC 28358-3150 · (910) 671-1111 · Fax (910) 671-4454
Phone(910) 258-7886
Organization SubpartYes
Authorized OfficialSanthosh AugustineOwner · (910) 733-2007
Enumeration DateOctober 17, 2022
NPPES CertifiedOctober 17, 2022
✔ NPI 1316663719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
203 MEDICAL WAY STE B, Riverdale, GA 30274
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Other Names 1

Former Legal Business NamePremier Behavioral Services Inc

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 11D2241714

Premier Behavioral Services, Inc · Riverdale, GA
Active · expires Oct 31, 2027
CLIA Number11D2241714
Laboratory TypeSubstance Abuse Prog O/P
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorAugustine Santhosh
Laboratory Phone(910) 671-1111
Laboratory LocationPremier Behavioral Services, Inc203 Medical Way, Suite B, Riverdale, GA 30274
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 11D2240593

Premier Behavioral Services, Inc · Riverdale, GA
Active · expires Oct 19, 2027
CLIA Number11D2240593
Laboratory TypeSubstance Abuse Treatment
Certificate Effective DateOctober 20, 2025
Certificate Expiration DateOctober 19, 2027
Laboratory DirectorSanthosh Augustine
Laboratory Phone(910) 671-1111
Laboratory LocationPremier Behavioral Services, Inc203 Medical Way Suite B, Riverdale, GA 30274
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 2

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

SOUTH ATLANTA NEUROLOGY AND DIAGNOSTICS, P.C.
Psychiatry & Neurology (Neurology)
203 MEDICAL WAY STE B
RIVERDALE, GA 30274
Clayton County (678) 782-5000
SYED SAJID HASAN MD
Psychiatry & Neurology (Neurology)
203 MEDICAL WAY STE B
RIVERDALE, GA 30274
Clayton County (678) 782-5000

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 Premier Behavioral Services Inc's NPI number?

The NPI number for Premier Behavioral Services Inc is 1316663719. It was assigned to this organization in the NPPES registry on October 17, 2022.

Where is Premier Behavioral Services Inc located?

Premier Behavioral Services Inc is located at 203 Medical Way Ste B, Riverdale, GA 30274. The listed phone number is (910) 258-7886.

What is Premier Behavioral Services Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Premier Behavioral Services Inc 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 Premier Behavioral Services Inc was last updated on October 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.