Organization
BHG LXVI, LLC
Active
Other names
BHG Medical Services - Georgia
Organization subpart
No
Provider details
NPI number
Authorized official
ZACK RAGSDALE (DIRECTOR)
(512) 454-5911
Entity
Organization
Contact information
Practice address
2402 TIFT AVENUE NORTH, SUITE #202, OBOT ROOM #100, TIFTON, GA 31794-1885
(229) 382-7808
(229) 386-5818
Mailing address
5001 SPRING VALLEY ROAD, SUITE 600 EAST, DALLAS, TX 75244-3946
(214) 365-6100
(214) 365-6150
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
207LA0401X
Addiction Medicine (Anesthesiology) Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/29/2023
Last updated
04/07/2025
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