PREFERRED TREATMENT CENTER, LLC (NPI# 1831598572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831598572 |
| Entity Type | Organization |
| Organization Name | PREFERRED TREATMENT CENTER, LLC |
| Practice Address |
108 Corporate Sq Ste A Dublin GA 31021-4252 |
| Mailing Address |
8152 Georgia Highway 272 Sandersville GA 31082 |
| Practice Telephone | 4782748426 |
| Practice Fax Number | 4782748430 |
| Mailing Telephone | 4782748426 |
| Mailing Fax Number | 4782748430 |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |
| Authorized Official Name | MRS. BRENDA L GORDY (PROGRAM DIRECTOR, ADMINISTRATOR) |
| Authorized Official Telephone | 4782327556 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
108 CORPORATE SQ STE A |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-4252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265997118 | Phoenix Integrated Health | Family Medicine | 5945 Sawmill Rd Unit B, Dublin, OH 43017-1623 | 2019-02-05 |
| 1275073553 | Phoenix Recovery Center, LLC | Family Medicine | 5945 Sawmill Rd, Dublin, OH 43017-1623 | 2017-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073714580 | James R Granger IIi | Family Medicine | 3823 Roswell Rd Ste 201, Marietta, GA 30062-6295 | 2007-05-30 |
| 1588770895 | Melissa Lee Warner | Family Medicine | 310 Black Bear Rdg, Sautee, GA 30571-3500 | 2006-08-21 |
| 1013952852 | William Robert Rout | Family Medicine | 963 Bennock Mill Dr., Augusta, GA 30906 | 2006-06-17 |
| 1184608077 | Michael Cowl Gordon | Family Medicine | 1800 Water Pl Se, Suite 100, Atlanta, GA 30339-2061 | 2005-12-04 |
| 1073512125 | Scott Thomas Miles | Family Medicine | 5155 Ga Highway 40 East, St. Marys, GA 31558 | 2005-07-20 |
| 1891393005 | Jubilee Primary Care PC | Family Medicine | 3312 Heathchase Ln, Suwanee, GA 30024-4639 | 2020-10-12 |
| 1801241559 | Thomas George Savel | Family Medicine | 767 Peachtree Pkwy, Suite 4, Cumming, GA 30041-9348 | 2016-05-02 |
| 1427484963 | Physician Management & Consulting | Family Medicine | 1050 Shiloh Rd Nw, Suite 311, Kennesaw, GA 30144-7194 | 2013-09-16 |
| 1518255777 | Michael C. Gordon Md, LLC | Family Medicine | 4015 S Cobb Dr Se, Suite 220, Smyrna, GA 30080-6303 | 2011-07-21 |
| 1467611129 | Accelerated Recovery Centers | Family Medicine | 1640 Powers Ferry Road, Building 7 Suite 300, Marietta, GA 30067 | 2008-06-06 |
| Find all providers with the same taxonomy | ||||
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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.