Bridgepoint Clinic
Psychiatry & Neurology, Psychiatry in Smyrna, GA. Organization (NPI-2).
NPI number1396464483
StatusActive
Last updated in NPPESAug 23, 2022
Details
- NPI
- 1396464483
- Entity type
- Organization (NPI-2)
- Legal business name
- Bridgepoint Clinic
- Organization subpart
- No
- Enumeration date
- Aug 23, 2022
- Certification date
- Aug 23, 2022
- Last updated
- Aug 23, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
Other names
- Bridgepoint (Doing Business As)
Practice location
4125 Atlanta Rd Se Ste 120Smyrna, GA 30080-6526
Phone 770-858-5377 · Fax 770-874-3310
Mailing address
4125 Atlanta Rd Se Ste 120Smyrna, GA 30080-6526
Phone 770-858-5377 · Fax 770-874-3310
Authorized official
Arun Kantamneni
Owner
7708585377
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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