TOXICOLOGY ASSOCIATES OF NORTH GEORGIA CARROLLTON, INC. (NPI# 1710218466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710218466 |
| Entity Type | Organization |
| Organization Name | TOXICOLOGY ASSOCIATES OF NORTH GEORGIA CARROLLTON, INC. |
| Practice Address |
2536 Carrollton Villa Rica Hwy Carrollton GA 30116-5510 |
| Mailing Address |
2221 Peachtree Rd Ne #d-291 Atlanta GA 30309-1148 |
| Practice Telephone | 7702481616 |
| Practice Fax Number | 7702481618 |
| Mailing Telephone | 7702481616 |
| Mailing Fax Number | 7702481618 |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |
| Authorized Official Name | CAROLYN KEELAGHAN (PROGRAM SPONSOR) |
| Authorized Official Telephone | 7702481616 |
| Authorized Official Credential | J.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
NTP001037 | GA | Ambulatory Health Care Facilities |
| Street Address |
2536 CARROLLTON VILLA RICA HWY |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30116-5510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518338300 | Carri Stewart | Specialist/Technologist | 123 Deer Park Dr, Carrollton, GA 30116 | 2015-10-19 |
| 1376953364 | Pope Counseling, LLC | Counselor | 251 Prism Dr., Suite 11, Carrollton, GA 30116 | 2014-04-30 |
| 1649453622 | Samantha Mindy Heard | Licensed Practical Nurse | 11 Oakridge Drive, Carrollton, GA 30116 | 2007-12-12 |
| 1528263837 | Nikki Kennedy | Contractor | 115 Castleman Road, Carrollton, GA 30116 | 2007-06-18 |
| 1841385671 | Margo Barnard | Counselor | 1774 Shady Grove Road, Carrollton, GA 30116 | 2006-10-04 |
| 1144878653 | Crystal Kelley Harden | Licensed Practical Nurse | 102 Quail Run, Carrollton, GA 30116-1894 | 2019-08-28 |
| 1871112110 | Lorie Maxwell Startup | Registered Nurse | 113 Central High Rd, Carrollton, GA 30116-4452 | 2020-04-15 |
| 1669960886 | Cindy R. Hunter | Dietitian, Registered | 104 Stoney Way, Carrollton, GA 30116-5108 | 2018-04-23 |
| 1659835320 | Gabriel Gherman | Pharmacist | 1963 Four Notch Rd, Carrollton, GA 30116-5223 | 2019-01-28 |
| 1144654013 | Cameron David Mount | Counselor | 997 Eagles Nest Cir, Carrollton, GA 30116-5496 | 2013-08-28 |
| Find all providers in zip 30116 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053823492 | Carroll Counseling, LLC | Clinic/Center | 539a 11th St, Carrollton, KY 41008-1463 | 2017-10-25 |
| 1609167469 | North Dallas Drug Rehabilitation Center | Clinic/Center | 1606 S I 35 Ste 101, Carrollton, TX 75006-7478 | 2011-04-28 |
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|---|---|---|---|---|
| 1669088795 | Port City Medical Associates Inc | Clinic/Center | 931 S West St, Bainbridge, GA 39819-4543 | 2020-09-23 |
| 1912528696 | Pittard Clinic LLC | Clinic/Center | 1654 Falls Rd, Toccoa, GA 30577 | 2020-05-04 |
| 1497388730 | Brand New Start Treatment Center- Paulding LLC | Clinic/Center | 311 Wi Pkwy, Suite 500, Dallas, GA 30327 | 2020-02-14 |
| 1275165755 | Walton County Treatment Center LLC | Clinic/Center | 3543 Highway 81 Ste 201, Loganville, GA 30052-4336 | 2020-02-12 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CARROLLTON |
| Zip Code | 30116 |
Please comment or provide details below to improve the information on TOXICOLOGY ASSOCIATES OF NORTH GEORGIA CARROLLTON, INC..
| 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.