East Point Recovery Center LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

EAST POINT RECOVERY CENTER LLC

Practice address

100 Governors Trce Ste 110
Peachtree City, GA 30269-4853

Phone

(908) 812-5176

NPI assigned

Feb 21, 2018

Organization subpart

No

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

Authorized official

Name

Stacey Butler

Title

Credentialing Specialist

Phone

(443) 839-6928

Specialties & licenses 1

Addresses

Other names 1

• Georgia Addiction Treatment Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Patrice Whitner, LPC

  • Professional Counselor
  • Newnan, GA
  • NPI 1821762733
  NPD (past)

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1003317538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10019 REISTERSTOWN RD FL 3",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173902",
            "telephone_number": "908-812-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GOVERNORS TRCE STE 110",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694853",
            "telephone_number": "908-812-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST POINT RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "443-839-6928"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgia Addiction Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon Duncan
• Naomi L Duncan, LCSW
• Patricia Duncan, PA-C
• Amy Elizabeth Dunn, M.A.,CCC-SLP
• Dynamic Spine Center
• Vici Lynn Eckhart, MSW LCSW
• Edens Health Group Lawrenceville
• Christopher Alton Edens, MD
• Lashanda L. Edwards, LCSW
• Ann E Eggert, M.D.

• Substance Use Disorder Rehabilitation Clinic/Center in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.