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BHG LXVI, LLC
NPI 1811596646
Psychiatry & Neurology - Addiction Medicine in Bremen, GA

Active since October 22, 2020CLIA 11D2180726 · Waiver
1021 ALABAMA AVENUE, BREMEN, GA 30110(770) 537-7007 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 7, 2025, Dec 18, 2024, May 1, 2024 and 1 more (4 updates tracked since 2020).

About Bhg Lxvi, Llc NPPES

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

BHG LXVI, LLC (NPI 1811596646), doing business as Bhg Medical Services-bremen, is a healthcare organization registered as an addiction medicine in Bremen, Georgia and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through March 18, 2028 and lists Zack Ragsdale, Cred Account Manager, as its authorized official.

NPPES Registry Identity

NPI1811596646
Entity TypeOrganization
Primary Taxonomy2084A0401X
Legal Business NameBHG LXVI, LLC
Location Address1021 ALABAMA AVENUEBremen, GA 30110
Mailing Address5001 Spring Valley Road, Suite 600 EastDallas, TX 75244 · (214) 365-6100 · Fax (214) 365-6150
Phone(770) 537-7007
Organization SubpartNo
Authorized OfficialZack RagsdaleCred Account Manager · (512) 454-5911
Enumeration DateOctober 22, 2020
Last NPPES UpdateApril 7, 20254 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
✔ NPI 1811596646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084A0401X
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X
Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
1021 ALABAMA AVENUE, Bremen, GA 30110
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Other Names 1

Doing Business AsBhg Medical Services-bremen

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

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 11D2180726

Bhg Lxvi, LLC Dba Bhg Medical Services-Georgia · Bremen, GA
Active · expires Mar 18, 2028
CLIA Number11D2180726
Laboratory TypeOffice Opioid Treatment
Certificate Effective DateMarch 19, 2026
Certificate Expiration DateMarch 18, 2028
Laboratory DirectorDana Baker
Laboratory Phone(770) 537-7007
Laboratory LocationBhg Lxvi, LLC Dba Bhg Medical Services-Georgia1021 Alabama Avenue, Bremen, GA 30110
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 Bhg Lxvi, LLC's NPI number?

The NPI number for Bhg Lxvi, LLC is 1811596646. It was assigned to this organization in the NPPES registry on October 22, 2020. The provider is doing business as BHG Medical Services-Bremen.

Where is Bhg Lxvi, LLC located?

Bhg Lxvi, LLC is located at 1021 Alabama Avenue, Bremen, GA 30110. The listed phone number is (770) 537-7007.

What is Bhg Lxvi, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Does Bhg Lxvi, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2180726) is associated with this NPI, valid through March 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bhg Lxvi, LLC was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.