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Prime Healthcare Foundation - Southern Regional, LLC

Psychiatric Hospital Unit in Riverdale, GA · enumerated 2018 · authorized official Christopher Doan, Compliance Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1518440254

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Registry record

Entity type Organization (Type 2)
Legal business name Prime Healthcare Foundation - Southern Regional, LLC
Other name <Unavail>
Parent organization Prime Healthcare Foundation - Southern Regional, LLC
Practice address 11 Upper Riverdale Rd Sw, Riverdale, GA, 30274
Phone (770) 991-8160
Fax (770) 909-2595
Enumeration date Sep 10, 2018
Last updated in NPPES Sep 10, 2018

Taxonomy & classification

273R00000X Psychiatric Hospital Unit Hospital Units · License 031-710 (GA) Primary

Authorized official

Name Christopher Doan
Title Compliance Officer
Phone (310) 259-4706

Other identifiers

Identifier Type State Issuer
000000404A Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Prime Healthcare Foundation - Southern Regional, LLC located?
The practice location on file with NPPES is in Riverdale, GA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-09-10. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-09-10.