Organization Active NPI

Sylvanus Memorial Treatment Centers Inc.

  • Methadone Clinic
  • Commerce, GA
National Provider Identifier
1093041121
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
NTP001028 Issued in GA
Legal business name
SYLVANUS MEMORIAL TREATMENT CENTERS INC.
Practice address
734 Hospital Road
Commerce, GA 30529-1142
Phone
(706) 335-5180
Fax
(706) 335-5217
NPI assigned
Oct 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Mr. William Michael Gordon, CAC II
Title
Ceo
Phone
(706) 335-5180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X NTP001028 GA Primary

Addresses

Primary practice location

734 Hospital Road
Commerce, GA 30529-1142

Mailing address

734 Hospital Road
Commerce, GA 30529-1142
Phone (706) 335-5180

Other names 1

  • William W. Read Memorial Treatment Center Doing business as

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
11D2026305William W Read Memorial Treament Center734 Hospital Road, Commerce, GA 30529Certificate of waiverJun 27, 2027

National Provider Directory

National Provider Directory

Locations

734 Hospital Rd
Commerce, GA 30529
Phone (678) 556-5969

NPI Registry JSON

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

{
    "created_epoch": "1256342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1093041121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 HOSPITAL ROAD",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305291142",
            "telephone_number": "706-335-5180",
            "fax_number": "706-335-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 HOSPITAL ROAD",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305291142",
            "telephone_number": "706-335-5180",
            "fax_number": "706-335-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLVANUS MEMORIAL TREATMENT CENTERS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-24",
        "last_updated": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-335-5180",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CAC II"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "GA",
            "license": "NTP001028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William W. Read Memorial Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Commerce, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.