Active NPI
Addiction Allies, LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Noel B Jewell, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2150957 | Addiction Allies, LLC | Certificate of waiver | Jul 8, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Lynchburg, VA
- NPI 1336199330
-
- Psychiatry Physician
- Maxwelton, WV
- NPI 1447239520
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.