RESTORE FIRST HEALTH RIVERDALE LLC
NPI 1497439509
Internal Medicine - Rheumatology in Riverdale, GA

Active since June 12, 2023
34 UPPER RIVERDALE RD SE STE 101, RIVERDALE, GA 30274(470) 292-3820(470) 280-9511 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Restore First Health Riverdale Llc NPPES

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

RESTORE FIRST HEALTH RIVERDALE LLC (NPI 1497439509) is a healthcare organization registered as a rheumatology in Riverdale, Georgia and active in the NPI registry since June 2023. The organization lists Randall Lee Haupt, Executive Vice President, Sgi, as its authorized official.

NPPES Registry Identity

NPI1497439509
Entity TypeOrganization
Primary Taxonomy207RR0500X
Legal Business NameRESTORE FIRST HEALTH RIVERDALE LLC
Location Address34 UPPER RIVERDALE RD SE STE 101Riverdale, GA 30274-2635
Mailing Address10680 Medlock Bridge Rd Ste 101Johns Creek, GA 30097-8420 · (470) 292-3820
Fax(470) 280-9511
Organization SubpartNo
Authorized OfficialRandall Lee HauptExecutive Vice President, Sgi · (931) 494-7057
Enumeration DateJune 12, 2023
Last NPPES UpdateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
✔ NPI 1497439509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
34 UPPER RIVERDALE RD SE STE 101, Riverdale, GA 30274

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Restore First Health Riverdale Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Restore First Health Riverdale LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner8
Family Practice1
Physical Medicine and Rehabilitation1

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1497026066
1265 HIGHWAY 54 W STE 305
Fayetteville, GA 30214
(770) 719-5660
✔ PECOS✔ Accepts Medicare8.5 mi
Nurse Practitioner
NPI 1457125569
1640 POWERS FERRY RD SE BUILDING 19, STE 350
Marietta, GA 30067
(215) 266-2560
✔ PECOS24 mi
Nurse Practitioner
NPI 1891416376
2330 SCENIC HWY S
Snellville, GA 30078
(678) 919-3315
✔ PECOS✔ Accepts Medicare28 mi
Nurse Practitioner
NPI 1942692942
5710 SUGARLOAF PKWY
Lawrenceville, GA 30043
(866) 389-2727
✔ PECOS33 mi
Physical Medicine and Rehabilitation
NPI 1740218890
10680 MEDLOCK BRIDGE RD STE 204
Johns Creek, GA 30097
(470) 292-3820
✔ PECOS✔ Accepts Medicare34 mi
Family Practice
NPI 1457397382
10680 MEDLOCK BRIDGE RD STE 204
Johns Creek, GA 30097
(470) 292-3820
✔ PECOS✔ Accepts Medicare34 mi
Nurse Practitioner
NPI 1265051767
119 AMBULANCE DR
Carrollton, GA 30117
(770) 812-5837
✔ PECOS✔ Accepts Medicare40 mi
Nurse Practitioner
NPI 1306214820
1707 BERWICK DR STE A
Laurinburg, NC 28352
(910) 276-2439
✔ PECOS293 mi
Nurse Practitioner
NPI 1912629593
3923 FORT HAMILTON PKWY
Brooklyn, NY 11218
(929) 491-7700
✔ PECOS✔ Accepts Medicare752 mi
Nurse Practitioner
NPI 1639689896
11417 124TH AVE NE STE 100
Kirkland, WA 98033
(800) 640-3451
✔ PECOS✔ Accepts Medicare2,184 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Restore First Health Riverdale LLC's NPI number?

The NPI number for Restore First Health Riverdale LLC is 1497439509. It was assigned to this organization in the NPPES registry on June 12, 2023.

Where is Restore First Health Riverdale LLC located?

Restore First Health Riverdale LLC is located at 34 Upper Riverdale Rd SE Ste 101, Riverdale, GA 30274. The listed phone number is (470) 292-3820.

What is Restore First Health Riverdale LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Restore First Health Riverdale LLC enrolled in Medicare?

Yes. Restore First Health Riverdale LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Restore First Health Riverdale LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Restore First Health Riverdale LLC. 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. The largest specialties are Nurse Practitioner (8), Family Practice (1) and Physical Medicine and Rehabilitation (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Restore First Health Riverdale LLC was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.