METRO TREATMENT OF GEORGIA, LP (NPI# 1144437286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144437286 |
Entity Type | Organization |
Organization Name | METRO TREATMENT OF GEORGIA, LP |
Other Organization Name | AUGUSTA METRO TREATMENT CENTER |
Practice Address |
2357 Tobacco Rd Augusta GA 30906-9220 |
Mailing Address |
2500 Maitland Center Parkway Suite 250 Maitland FL 32751-4174 |
Practice Telephone | 7067223855 |
Practice Fax Number | 7067225534 |
Mailing Telephone | 4073517080 |
Mailing Fax Number | 4073516930 |
Enumeration Date | 2007-05-17 |
Last Update Date | 2019-08-15 |
Authorized Official Name | MR. RODNEY WILLIAMS (CFO) |
Authorized Official Telephone | 4073517080 |
Is Organization Subpart | Y |
Parent Organization Name | METRO TREATMENT OF GEORGIA, LP |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities | ||
N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
PHOP000009 | GA | Suppliers |
Y | 251S00000X | Community/Behavioral Health | GA | Agencies |
Other Name | Type Code |
---|---|
Augusta Metro Treatment Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225447188 | Metro Treatment of Georgia, Lp | Clinic/Center | 145 Southern Blvd, Suite B, Savannah, GA 31405-7457 | 2014-08-05 |
1083030928 | Metro Treatment of Georgia, Lp | Clinic/Center | 1135 13th St, Columbus, GA 31901-2248 | 2014-03-17 |
1124235262 | Metro Treatment of Georgia, Lp | Clinic/Center | 6500 Mcdonough Dr, Suite B2, Norcross, GA 30093-1235 | 2007-05-17 |
1982819595 | Metro Treatment of Georgia, Lp | Clinic/Center | 2007 Old Lafayette Rd, Fort Oglethorpe, GA 30742-3510 | 2007-05-14 |
Street Address |
2357 TOBACCO RD |
City | AUGUSTA |
State | GA |
Zip Code | 30906-9220 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801408505 | Qayniece L. Smith | Counselor | 2357 Tobacco Rd, Augusta, GA 30906-9220 | 2020-08-24 |
1710599410 | Latisha Crick | Counselor | 2357 Tobacco Rd, Augusta, GA 30906-9220 | 2020-08-24 |
1932750924 | Thomas Wayne Cannady | Counselor | 2357 Tobacco Rd, Augusta, GA 30906-9220 | 2019-09-23 |
1093368763 | Tracey Michelle Jordan-richardson | Counselor | 2357 Tobacco Rd, Augusta, GA 30906-9220 | 2019-07-22 |
1295388965 | Andre Miller | Counselor | 2357 Tobacco Rd, Augusta, GA 30906-9220 | 2019-07-22 |
1255898748 | Jennifer Harris | Counselor | 2357 Tobacco Rd, Augusta, GA 30906-9220 | 2019-02-21 |
1982161477 | Allen Meadows | Counselor | 2357 Tobacco Rd, Augusta, GA 30906-9220 | 2019-02-21 |
1427515949 | Deborah R Abner | Psychologist | 2357 Tobacco Rd, Augusta, GA 30906-9220 | 2019-02-21 |
1841757366 | Debbie Hardison | Counselor | 2357 Tobacco Rd, Augusta, GA 30906-9220 | 2019-02-21 |
1821555301 | Draper E King | Counselor | 2357 Tobacco Rd, Augusta, GA 30906-9220 | 2019-02-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255969432 | Barton Chapel Dental Group, LLC | Dentist | 2755 Barton Chapel Road, Augusta, GA 30906 | 2020-04-01 |
1255897419 | Pediatric Mobility Innovations | Durable Medical Equipment & Medical Supplies | 3114 Augusta Tech Drive Suite 404, Augusta, GA 30906 | 2019-02-13 |
1023539731 | Kristy Lee Gibbs | Registered Nurse | 3421 Mike Padgett Hwy Bldg C, Augusta, GA 30906 | 2017-07-03 |
1194186031 | Clifton Nane Williams | Counselor | 3230 Hampton Circle, Augusta, GA 30906 | 2016-03-18 |
1376929661 | Catherine A. Ganzy | Social Worker | 3405 Mike Padgett Highway; Building 201, East Central Regional Hosptial, Augusta, GA 30906 | 2015-08-10 |
1962810358 | Fatemeh Azadeh Paziraei | Dentist | 1631 Gordon Highway, Augusta Smiles Youth Dentistry, Augusta, GA 30906 | 2014-07-29 |
1568809770 | Brandon Jennings | Occupational Therapy Assistant | 2388 Old Mcduffie Rd, Augusta, GA 30906 | 2013-05-29 |
1811266646 | Eddie P Johnson IIi, Dmd, PC | Preferred Provider Organization | 2755 Barton Chapel Rd, Augusta, GA 30906 | 2011-12-23 |
1366739021 | Kerensa A Cooks | Registered Nurse | 3421 Mike Padgett Highway, Serenity Behavioral Health Systems, Augusta, GA 30906 | 2011-07-01 |
1265737423 | Pidcock Chiropractic, Inc. | Chiropractor | 3028 Peach Orchard Rd., Augusta, GA 30906 | 2011-01-20 |
Find all providers in zip 30906 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
1497376792 | Bigivv | Community/Behavioral Health | 824 Hickman Rd Apt D32, Augusta, GA 30904-7108 | 2020-04-28 |
1871134478 | Nicole Mank, Lcsw, LLC | Community/Behavioral Health | 126 Western Ave # 1026, Augusta, ME 04330-7249 | 2019-10-04 |
1891263091 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 623 N 9th St Ste 200, Augusta, AR 72006-2103 | 2018-11-06 |
1811492911 | Healing Elements LLC | Community/Behavioral Health | 6494 Sw 60th St, Augusta, KS 67010-7790 | 2018-03-29 |
1942713664 | Consuela Tangulia Wilds-glover | Community/Behavioral Health | 519 Pleasant Home Rd Ste C4, Augusta, GA 30907-0556 | 2017-11-16 |
1558874974 | Jenesis Consulting and Development | Community/Behavioral Health | 4274 Belair Frontage Rd Ste 1, Augusta, GA 30909-9428 | 2017-11-07 |
1891217824 | Many Waters Counseling, LLC | Community/Behavioral Health | 3540 Wheeler Rd Ste 210, Augusta, GA 30909-1879 | 2017-07-12 |
1649702739 | Tracey Taylor Carter | Community/Behavioral Health | 1265 Interstate Pkwy, Suite B, Augusta, GA 30909-6481 | 2017-03-29 |
1669918231 | Cj Foster Consulting | Community/Behavioral Health | 3031 Brockham Ct, Augusta, GA 30909-0629 | 2017-01-06 |
Find all providers in AUGUSTA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.