RESTAURA BEHAVIORAL HEALTH
NPI 1487491270
Clinic/Center - Rehabilitation, Substance Use Disorder in Decatur, GA

Active since July 10, 2024CLIA 11D2313471 · Waiver
2450 LAWRENCEVILLE HWY, DECATUR, GA 30033(404) 310-8090 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 14, 2026, Apr 15, 2026, Jul 17, 2024 and 1 more (4 updates tracked since 2024).

About Restaura Behavioral Health NPPES

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

RESTAURA BEHAVIORAL HEALTH (NPI 1487491270) is a healthcare organization registered as a rehabilitation, substance use disorder in Decatur, Georgia and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through October 30, 2026 and lists Nicole Liebb, Manager, as its authorized official.

NPPES Registry Identity

NPI1487491270
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameRESTAURA BEHAVIORAL HEALTH
Location Address2450 LAWRENCEVILLE HWYDecatur, GA 30033-3268
Mailing Address2450 Lawrenceville HwyDecatur, GA 30033-3268 · (404) 310-8090
Organization SubpartNo
Authorized OfficialNicole LiebbManager · (732) 522-4338
Enumeration DateJuly 10, 2024
Last NPPES UpdateMay 14, 20264 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1487491270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
2450 LAWRENCEVILLE HWY, Decatur, GA 30033

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Restaura Behavioral Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Restaura Behavioral Health, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1225503642
3103 S TAFT ST
Pine Bluff, AR 71603
(870) 329-3028
✔ PECOS✔ Accepts Medicare448 mi
Psychiatry
NPI 1467665703
7559 263RD ST
Glen Oaks, NY 11004
(718) 470-8014
✔ PECOS✔ Accepts Medicare752 mi
Family Practice
NPI 1003077322
7 CREEK LN
Bristol, RI 02809
(718) 964-6161
✔ PECOS✔ Accepts Medicare893 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

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 11D2313471

Restaura Behavioral Health · Decatur, GA
Active · expires Oct 30, 2026
CLIA Number11D2313471
Laboratory TypeIntensive O/P Treat Pro
Certificate Effective DateOctober 31, 2024
Certificate Expiration DateOctober 30, 2026
Laboratory DirectorSimon Fensterscaub
Laboratory Phone(404) 310-8090
Laboratory LocationRestaura Behavioral Health2450 Lawrenceville Hwy, Decatur, GA 30030
CLIA data matches this NPI record on: Address Name 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 Restaura Behavioral Health's NPI number?

The NPI number for Restaura Behavioral Health is 1487491270. It was assigned to this organization in the NPPES registry on July 10, 2024.

Where is Restaura Behavioral Health located?

Restaura Behavioral Health is located at 2450 Lawrenceville Hwy, Decatur, GA 30033. The listed phone number is (404) 310-8090.

What is Restaura Behavioral Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Is Restaura Behavioral Health enrolled in Medicare?

Yes. Restaura Behavioral Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Restaura Behavioral Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Restaura Behavioral Health, in Family Practice, Nurse Practitioner and Psychiatry. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Restaura Behavioral Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2313471) is associated with this NPI, valid through October 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Restaura Behavioral Health was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.