Active NPI
Gpa Treatment, Inc.
- Methadone Clinic
- Doraville, GA
National Provider Identifier
1063812667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- License
- GA-100059-M
- Legal business name
- GPA TREATMENT, INC.
- Practice address
- 4255 Chamblee Tucker Rd
Doraville, GA 30340-4501 - Phone
- (770) 493-1922
- Fax
- (770) 493-8000
- NPI assigned
- Sep 2, 2014
- 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
- Onuzulike Nat Nwizu, M.A., C.A.S
- Title
- Program Administrator
- Phone
- (770) 493-1922
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 |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | GA-100059-M | GA | Primary |
Addresses
Primary practice location
4255 Chamblee Tucker Rd
Doraville, GA 30340-4501
Mailing address
4255 Chamblee Tucker Rd
Doraville, GA 30340-4501
Phone (770) 493-1922
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200215000005 | GA | Part B Supplier - Opioid Treatment Program (Otp) | 1254767049 | Practice locations: Doraville, GA |
National Provider Directory
National Provider DirectoryLocations
4255 Chamblee Tucker Rd
Doraville, GA 30340
Phone (770) 493-1922
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Doraville, GA
- NPI 1902442981
-
- Clinical Social Worker
- Doraville, GA
- NPI 1790123990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409616000000",
"number": "1063812667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4255 CHAMBLEE TUCKER RD",
"city": "DORAVILLE",
"state": "GA",
"postal_code": "303404501",
"telephone_number": "770-493-1922",
"fax_number": "770-493-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4255 CHAMBLEE TUCKER RD",
"city": "DORAVILLE",
"state": "GA",
"postal_code": "303404501",
"telephone_number": "770-493-1922",
"fax_number": "770-493-8000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GPA TREATMENT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-02",
"last_updated": "2014-09-02",
"status": "A",
"authorized_official_last_name": "NWIZU",
"authorized_official_first_name": "ONUZULIKE",
"authorized_official_middle_name": "NAT",
"authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
"authorized_official_telephone_number": "770-493-1922",
"authorized_official_credential": "M.A., C.A.S"
},
"taxonomies": [
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": "GA",
"license": "GA-100059-M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doraville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.