Organization Active NPI

Alliance Recovery Center, Inc.

  • Methadone Clinic
  • Decatur, GA
National Provider Identifier
1003953548
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
ALLIANCE RECOVERY CENTER, INC.
Practice address
1116 E Ponce de Leon Ave
Decatur, GA 30030-2711
Phone
(404) 377-7669
Fax
(404) 377-8536
NPI assigned
Feb 1, 2007
Last updated
Aug 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Ashley Preyer
Title
Billing Manager
Phone
(470) 781-6242

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NTP001000 GA
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

1116 E Ponce de Leon Ave
Decatur, GA 30030-2711

Mailing address

1116 E Ponce de Leon Ave
Decatur, GA 30030-2711
Phone (404) 377-7669

Other practice location 1

3430 Highway 20 SE
Conyers, GA 30013-2868
Phone (770) 922-4482

Other practice location 2

119 Sycamore Dr
Athens, GA 30606-3448
Phone (706) 850-2121

Other identifiers 3

IdentifierTypeStateIssuer
NTP001079OtherGANARCOTICTREATMENTPROGRAM
NTP001000OtherGANARCOTIC TREATMENT
NTP001032OtherGANARCOTICTREATMENTPROGRAM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191219001685 GA Part B Supplier - Opioid Treatment Program (Otp) 0244664563 Practice locations: Decatur, GA; Athens, GA; Conyers, GA

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
11D1044446Alliance Recovery Center1116 East Ponce de Leon Avenue, Decatur, GA 30030Certificate of waiverAug 18, 2027
11D1047300Alliance Recovery Center Conyers3430 Highway 20, Conyers, GA 30013Certificate of waiverOct 31, 2027
11D2071812Alliance Recovery Center, Athens119 Sycamore Drive, Athens, GA 30606Certificate of waiverJan 20, 2028

National Provider Directory

National Provider Directory

Locations

3430 Highway 20 SE
Conyers, GA 30013
Phone (770) 922-4482

209 Swanton Way
Ste B
Decatur, GA 30030

Practitioners & affiliated clinicians

Practitioners 7

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": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1003953548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 E PONCE DE LEON AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302711",
            "telephone_number": "404-377-7669",
            "fax_number": "404-377-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 E PONCE DE LEON AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302711",
            "telephone_number": "404-377-7669",
            "fax_number": "404-377-8536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3430 Highway 20 SE",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300132868",
            "country_code": "US",
            "telephone_number": "770-922-4482",
            "fax_number": "706-922-4640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Sycamore Dr",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306063448",
            "country_code": "US",
            "telephone_number": "706-850-2121",
            "fax_number": "706-850-2120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLIANCE RECOVERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "PREYER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "470-781-6242"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "NTP001000",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NARCOTICTREATMENTPROGRAM",
            "identifier": "NTP001079",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NARCOTIC TREATMENT",
            "identifier": "NTP001000",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NARCOTICTREATMENTPROGRAM",
            "identifier": "NTP001032",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.