SOUTHERN REGIONAL MEDICAL CENTER
NPI 1518440254
Psychiatric Unit in Riverdale, GA

Active since September 10, 2018
11 UPPER RIVERDALE RD SW, RIVERDALE, GA 30274(770) 991-8160(770) 909-2595 Get Directions Write a Review

NPPES record last updated: September 10, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Southern Regional Medical Center NPPES

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

SOUTHERN REGIONAL MEDICAL CENTER (NPI 1518440254) is a healthcare organization registered as a psychiatric unit in Riverdale, Georgia and active in the NPI registry since September 2018. The organization lists Christopher Doan, Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1518440254
Entity TypeOrganization
Primary Taxonomy273R00000X
Legal Business NamePRIME HEALTHCARE FOUNDATION - SOUTHERN REGIONAL, LLC
Location Address11 UPPER RIVERDALE RD SWRiverdale, GA 30274-2615
Mailing Address11 Upper Riverdale Rd SwRiverdale, GA 30274-2615 · (770) 991-8160 · Fax (770) 909-2595
Fax(770) 909-2595
Organization SubpartYes
Authorized OfficialChristopher DoanCompliance Officer · (310) 259-4706
Enumeration DateSeptember 10, 2018
NPI 1518440254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric UnitHospital Units
Taxonomy Code273R00000X
License Licensed in GA · 031-710
Definition
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
11 UPPER RIVERDALE RD SW, Riverdale, GA 30274

Other Names 1

Doing Business AsSouthern Regional Medical Center

Other Identifiers 1

Medicaid000000404AGA

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.

Nurse Practitioner
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Hospitalist
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Surgery
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Radiology (Diagnostic Radiology)
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Emergency Medicine
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Pathology (Anatomic Pathology & Clinical Pathology)
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Student in an Organized Health Care Education/Training Program
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Emergency Medicine
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274

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 Prime Healthcare Foundation - Southern Regional, LLC's NPI number?

The NPI number for Prime Healthcare Foundation - Southern Regional, LLC is 1518440254. It was assigned to this organization in the NPPES registry on September 10, 2018. The provider is doing business as Southern Regional Medical Center.

Where is Prime Healthcare Foundation - Southern Regional, LLC located?

Prime Healthcare Foundation - Southern Regional, LLC is located at 11 Upper Riverdale Rd SW, Riverdale, GA 30274. The listed phone number is (770) 991-8160.

What is Prime Healthcare Foundation - Southern Regional, LLC's specialty?

The primary specialty registered for this NPI is Psychiatric Unit with taxonomy code 273R00000X.

When was this NPI record last updated?

The NPPES record for Prime Healthcare Foundation - Southern Regional, LLC was last updated on September 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.