NPIMap

Organization Active NPI

Breakthrough Addiction Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Norcross, GA
National Provider Identifier
1043437742
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
00205360 Issued in GA
Legal business name
BREAKTHROUGH ADDICTION RECOVERY
Practice address
8000 Miller CT E
Norcross, GA 30071-1456
Phone
(770) 734-8091
Fax
(770) 734-8094
NPI assigned
Apr 20, 2007
Last updated
Oct 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Mr. Sonny Calhoun
Title
Managing Partner
Phone
(770) 352-4374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 00205360 GA Primary

Addresses

Primary practice location

8000 Miller CT E
Norcross, GA 30071-1456

Mailing address

8000 Miller CT E
Norcross, GA 30071-1456
Phone (770) 734-8091

Other identifiers 1

IdentifierTypeStateIssuer
00205360OtherGABUSINESS LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

8000 Miller Ct E
Norcross, GA 30071
Phone (404) 378-0330

Practitioners & affiliated clinicians

Practitioners 5

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": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1043437742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 MILLER CT E",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711456",
            "telephone_number": "770-734-8091",
            "fax_number": "770-734-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 MILLER CT E",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711456",
            "telephone_number": "770-734-8091",
            "fax_number": "770-734-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHROUGH ADDICTION RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "CALHOUN",
        "authorized_official_first_name": "SONNY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "770-352-4374",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "GA",
            "license": "00205360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE NUMBER",
            "identifier": "00205360",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.