SOUTHEAST GEORGIA TREATMENT CENTER (NPI# 1952931164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952931164 |
Entity Type | Organization |
Organization Name | SOUTHEAST GEORGIA TREATMENT CENTER |
Practice Address |
816 Professional Center Dr Eastman GA 31023-6734 |
Mailing Address |
Po Box 4306 Eastman GA 31023-4306 |
Practice Telephone | 4783740390 |
Mailing Telephone | 4783740390 |
Mailing Fax Number | 4783740458 |
Enumeration Date | 2020-01-16 |
Last Update Date | 2020-01-16 |
Authorized Official Name | THOMAS M KNIGHT (MANGER) |
Authorized Official Telephone | 4782314728 |
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 |
Street Address |
816 PROFESSIONAL CENTER DR |
City | EASTMAN |
State | GA |
Zip Code | 31023-6734 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821555913 | Community Service Board of Middle Georgia | Day Training, Developmentally Disabled Services | 1444 Morgan Creek Dr, Eastman, GA 31023 | 2019-02-25 |
1174832232 | Lynetta Davies | Counselor | 17 Tanner Dr, Eastmon, GA 31023 | 2010-10-06 |
1467774380 | Dustin Phillip Smith | Chiropractor | 285 Plaza Avenue, Eastman, GA 31023 | 2010-02-19 |
1639311145 | D&b Home Care Inc | Durable Medical Equipment & Medical Supplies | 714 Medical Center Drive, Eastman, GA 31023 | 2009-03-30 |
1427273465 | Hospice Care Options Inc | Hospice Care, Community Based | 715 Legion Dr, Eastman, GA 31023 | 2007-04-16 |
1740318625 | Dana W Mullis | Dentist | 1003 Plaza Ave, Eastman, GA 31023 | 2007-03-01 |
1285787630 | 801 Legion LLC | Skilled Nursing Facility | 815 Legion Dr, Eastman, GA 31023 | 2007-01-19 |
1396813317 | Womens Health PC | Obstetrics & Gynecology | 821 Plaza Ave, Suite B, Eastman, GA 31023 | 2006-11-30 |
1932294170 | John D Roberts | Ophthalmology | 917 Plaza Avenue, Eastman, GA 31023 | 2006-10-04 |
1215030978 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 535 Oak St, Eastman, GA 31023 | 2006-09-07 |
Find all providers in zip 31023 |
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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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 |
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 |
1013551662 | Newnan Healthcare Services, LLC | Clinic/Center | 931 Lower Fayetteville Rd Ste K, Newnan, GA 30263-5790 | 2019-11-06 |
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.