Organization Active NPI

Addiction Allies, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Charlottesville, VA
National Provider Identifier
1003225780
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
ADDICTION ALLIES, LLC
Practice address
631 Berkmar Cir
Charlottesville, VA 22901-1464
Phone
(434) 770-1000
NPI assigned
Aug 7, 2014
Last updated
Jan 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Noel B Jewell, MDNPI 1447239520
Title
Authorized Official
Phone
(304) 497-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

631 Berkmar Cir
Charlottesville, VA 22901-1464

Mailing address

631 Berkmar Cir
Charlottesville, VA 22901-1464
Phone (434) 770-1000

Other names 1

  • Addiction Allies, LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200316000263 VA Part B Supplier - Clinic/Group Practice 5496096620 Receives reassigned benefits from 1 practitioner
Practice locations: Charlottesville, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2150957Addiction Allies, LLC631 Berkmar Circle, Charlottesville, VA 22901Certificate of waiverJul 8, 2028

National Provider Directory

National Provider Directory

Locations

1049 Claymont Dr
Lynchburg, VA 24502
Phone (434) 582-1600

3723 Old Forest Rd
Lynchburg, VA 24501
Phone (434) 219-5621

3723 Old Forest Rd
Ste E
Lynchburg, VA 24501

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1003225780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 BERKMAR CIR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011464",
            "telephone_number": "434-770-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 BERKMAR CIR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011464",
            "telephone_number": "434-770-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION ALLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "JEWELL",
        "authorized_official_first_name": "NOEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "304-497-0500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addiction Allies, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Addiction Allies, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.