Organization Active NPI

Genea Group, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Atlanta, GA
National Provider Identifier
1053709261
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
GENEA GROUP, LLC
Practice address
3975 Roswell Rd NE Ste 101
Atlanta, GA 30342-4119
Phone
(954) 800-8387
NPI assigned
Dec 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Authorized official

Name
Theresa Smith
Title
Billing Manager
Phone
(954) 800-8387

Specialties & licenses 1

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

Addresses

Primary practice location

3975 Roswell Rd NE Ste 101
Atlanta, GA 30342-4119

Mailing address

70 Gruber LN Ste 107
St Simons Island, GA 31522-2888
Phone (954) 800-8387

National Provider Directory

National Provider Directory

Locations

3975 Roswell Rd NE
Ste 101
Atlanta, GA 30342
Phone (954) 800-8387

NPI Registry JSON

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1053709261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 GRUBER LN STE 107",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222888",
            "telephone_number": "954-800-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 ROSWELL RD NE STE 101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424119",
            "telephone_number": "954-800-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEA GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "954-800-8387"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.