BRIDGEPOINT CLINIC
NPI 1396464483
Psychiatry & Neurology - Psychiatry in Smyrna, GA

Q: What is Bridgepoint Clinic's NPI number?

The NPI number for Bridgepoint Clinic is 1396464483. It was assigned to this organization in the NPPES registry on August 23, 2022. The provider is doing business as Bridgepoint.

Q: What is Bridgepoint Clinic's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since August 23, 2022CLIA 11D2235384 · Waiver

4125 ATLANTA RD SE STE 120, SMYRNA, GA 30080(770) 858-5377(770) 874-3310 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bridgepoint Clinic NPPES

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

BRIDGEPOINT CLINIC (NPI 1396464483), doing business as Bridgepoint, is a healthcare organization registered as a psychiatry in Smyrna, Georgia and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through September 8, 2027 and lists Arun Kantamneni, Owner, as its authorized official.

NPPES Registry Identity

NPI1396464483

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameBRIDGEPOINT CLINIC

Location Address4125 ATLANTA RD SE STE 120Smyrna, GA 30080-6526

Mailing Address4125 Atlanta Rd Se Ste 120Smyrna, GA 30080-6526 · (770) 858-5377 · Fax (770) 874-3310

Phone(770) 858-5377

Fax(770) 874-3310

Organization SubpartNo

Authorized OfficialArun KantamneniOwner · (770) 858-5377

Enumeration DateAugust 23, 2022

NPPES CertifiedAugust 23, 2022

✔ NPI 1396464483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

4125 ATLANTA RD SE STE 120, Smyrna, GA 30080

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Other Names 1

Doing Business AsBridgepoint

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 11D2235384

Bridgepoint Clinic LLC · Smyrna, GA

Active · expires Sep 8, 2027

CLIA Number11D2235384

Laboratory TypePhysician Office

Certificate Effective DateSeptember 9, 2025

Certificate Expiration DateSeptember 8, 2027

Laboratory DirectorArun Kantamneni

Laboratory Phone(770) 858-5377

Laboratory LocationBridgepoint Clinic LLC4125 Atlanta Road Suite 120, Smyrna, GA 30080

CLIA data matches this NPI record on: Name Phone

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

Other Providers at the Same Location NPPES 5

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

GAELLE LAURE ESSENAM GOUNTENI PMHNP-BC

Psychiatry & Neurology (Psychiatry)