NEPTUNE CLINICAL GROUP, INC. (NPI# 1669572335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669572335 |
| Entity Type | Organization |
| Organization Name | NEPTUNE CLINICAL GROUP, INC. |
| Other Organization Name | PRIVATE CLINIC NORTH |
| Practice Address |
822 Chickamauga Ave Rossville GA 30741-1407 |
| Practice Telephone | 7068616458 |
| Practice Fax Number | 7068666277 |
| Mailing Telephone | 7068616458 |
| Mailing Fax Number | 7068666277 |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | MR. DOUGLAS STEPHEN DAVIS (ADMINISTRATOR) |
| Authorized Official Telephone | 7068616458 |
| Authorized Official Credential | CCS, CADC2, CAS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Private Clinic North | Doing Business As Name - Organization |
| Street Address |
822 CHICKAMAUGA AVE |
| City | ROSSVILLE |
| State | GA |
| Zip Code | 30741-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962037697 | Richard Wade Connell | Counselor | 822 Chickamauga Ave, Rossville, GA 30741-1407 | 2020-03-03 |
| 1356976088 | Courtney Connell | Counselor | 822 Chickamauga Ave, Rossville, GA 30741-1407 | 2020-03-03 |
| 1003440868 | Dana Gae Johnson | Counselor | 822 Chickamauga Ave, Rossville, GA 30741-1407 | 2020-03-02 |
| 1760016539 | Snezana Brady Johnson | Counselor | 822 Chickamauga Ave, Rossville, GA 30741-1407 | 2020-03-02 |
| 1992339774 | Elizabeth M Galloway | Counselor | 822 Chickamauga Ave, Rossville, GA 30741-1407 | 2020-03-02 |
| 1679107437 | Donna Jean Fincher | Counselor | 822 Chickamauga Ave, Rossville, GA 30741-1407 | 2020-03-02 |
| 1316571169 | Melina Lovelady Wooten | Counselor | 822 Chickamauga Ave, Rossville, GA 30741-1407 | 2020-03-02 |
| 1598399511 | John D Bruce Jr. | Counselor | 822 Chickamauga Ave, Rossville, GA 30741-1407 | 2020-02-28 |
| 1386278398 | Heather Voss | Counselor | 822 Chickamauga Ave, Rossville, GA 30741-1407 | 2020-02-28 |
| 1366076382 | Maria S Alvarado | Counselor | 822 Chickamauga Ave, Rossville, GA 30741-1407 | 2020-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881084549 | Bi-lo Pharmacy | Pharmacy | 820 Misson Ridge Road, Rossville, GA 30741 | 2015-02-02 |
| 1013194943 | Kathleen Marie Powell | Physical Therapist | 1425 Mc Farland Ave, Rossville, GA 30741 | 2008-01-22 |
| 1871668020 | Jerry Vance Grimmitt | Pharmacist | 785 Chickamauga Av, Longley Pharmacy, Rossville, GA 30741 | 2006-11-22 |
| 1831163898 | Jose R Justiniano-ayala | Family Medicine | 205 Jenkins Rd, Rossville, GA 30741 | 2006-02-15 |
| 1235389230 | Michael Robert Mccoy | Internal Medicine | 205 Jenkins Rd, Rossville, GA 30741 | 2008-09-25 |
| 1255512182 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 205 Jenkins Rd, Rossville, GA 30741 | 2007-11-20 |
| 1962677633 | Lookout Mountain Community Service | Community/Behavioral Health | 405 Glenn Wade Dr, Rossville, GA 30741-1176 | 2008-04-24 |
| 1033142930 | Robert Alan Stultz | Physician Assistant | 118 Howard St, Rossville, GA 30741-1314 | 2006-07-07 |
| 1902950462 | Leisha Harrell Espy | Chiropractor | 100 E Gordon Ave, Rossville, GA 30741-1318 | 2007-01-22 |
| 1073687596 | Rocky Top Pharmacy Inc | Pharmacy | 785 Chickamauga Ave, Rossville, GA 30741-1404 | 2006-11-17 |
| Find all providers in zip 30741 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
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| 1023640596 | Georgia Treatment Center LLC | Clinic/Center | 514 W Maple St Ste 1206, Cumming, GA 30040-2536 | 2020-02-12 |
| 1417587502 | Ringgold Treatment Center LLC | Clinic/Center | 8292 Highway 41, Ringgold, GA 30736-2354 | 2020-01-17 |
| 1952931164 | Southeast Georgia Treatment Center | Clinic/Center | 816 Professional Center Dr, Eastman, GA 31023-6734 | 2020-01-16 |
| 1508405150 | Woodstock Treatment Center LLC | Clinic/Center | 270 Heritage Walk, Woodstock, GA 30188-3875 | 2019-12-30 |
| 1588208128 | Narquest Healthcare Services, LLC | Clinic/Center | 1766 Memorial Dr Ste 3, Waycross, GA 31501-1098 | 2019-11-06 |
| 1619511334 | Douglasville Healthcare Services, LLC | Clinic/Center | 4158 Washington Rd Ste 4, Evans, GA 30809-4720 | 2019-11-06 |
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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.