Active NPI
Good Landing Recovery Atlanta
- Substance Abuse Rehabilitation Facility
- Dacula, GA
National Provider Identifier
1083379101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- GOOD LANDING RECOVERY ATLANTA
- Practice address
- 2535 2ND Avenue
Dacula, GA 30019 - Phone
- (770) 450-6120
- NPI assigned
- Nov 3, 2021
- 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
- Mr. Charlie Campbell
- Title
- Coo
- Phone
- (904) 302-3202
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 |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
2535 2ND Avenue
Dacula, GA 30019
Mailing address
256 McMillan Rd
Dacula, GA 30019-2337
Phone (904) 302-3202
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Dacula, GA
- NPI 1881320083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660867200000",
"number": "1083379101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 MCMILLAN RD",
"city": "DACULA",
"state": "GA",
"postal_code": "300192337",
"telephone_number": "904-302-3202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2535 2ND AVENUE",
"city": "DACULA",
"state": "GA",
"postal_code": "30019",
"telephone_number": "770-450-6120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD LANDING RECOVERY ATLANTA",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-03",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "CHARLIE",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "904-302-3202",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dacula, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.