MEDICARE: BETH RUDEGEAIR LCSW, CGP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	001997	GA
2	103TP2701X	Group Psychotherapy Psychologist	001997	GA
3	103T00000X	Psychologist	001997	GA
4	1041C0700X	Clinical Social Worker	001997	GA
5	106H00000X	Marriage & Family Therapist	001997	GA

General Provider Information

NPI Number	:	1669466157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETH RUDEGEAIR LCSW, CGP

Provider Business Mailing Address
First Line	:	2250 N DRUID HILLS RD NE
Second Line	:	STE. 252
City	:	ATLANTA
State	:	GA
Zip	:	30329-3192
Country	:	US
Telephone Number	:	404-325-8003
Fax Number	:	404-325-5310

Provider Business Practice Location Address
First Line	:	2250 N DRUID HILLS RD NE
Second Line	:	STE. 252
City	:	ATLANTA
State	:	GA
Zip	:	30329-3192
Country	:	US
Telephone Number	:	404-325-8003
Fax Number	:	404-325-5310

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	09/11/2025

Similar Medicare Providers

1831201151 — MR. WOODFIN JACKSON THRELKELD JR. LCSW
Practice Location Address:

2250 N DRUID HILLS RD NE , SUITE 232
ATLANTA, GA
30329-3192

Practice Phone: 404-325-3992
Practice Fax: 404-325-5310

1366674087 — WOODFIN J. THRELKELD, MSW, LCSW, INC.
Practice Location Address:

2250 N DRUID HILLS RD NE , SUITE 232
ATLANTA, GA
30329-3192

Practice Phone: 404-325-3992
Practice Fax: 404-325-5310

1316264526 — MDS DIGITAL X-RAY LLC
Practice Location Address:

2250 N DRUID HILLS RD NE , STE. 270
ATLANTA, GA
30329-3192

Practice Phone: 404-728-0000
Practice Fax: 404-728-0801

1093032948 — MDS DIGITAL X-RAY LLC
Practice Location Address:

2250 N DRUID HILLS RD NE , STE 270
ATLANTA, GA
30329-3192

Practice Phone: 404-728-0000
Practice Fax: 404-728-0801

1811214760 — MDS DIGITAL X-RAY LLC
Practice Location Address:

2250 N DRUID HILLS RD NE , STE 270
ATLANTA, GA
30329-3192

Practice Phone: 404-728-0000
Practice Fax: 404-728-0801

1881022770 — TIMOTHY COOKE
Practice Location Address:

2250 N DRUID HILLS RD NE
ATLANTA, GA
30329-3192

Practice Phone: 770-843-3164
Practice Fax:

Directions to “ BETH RUDEGEAIR LCSW, CGP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.