NPIMap

Organization Active NPI

Medlin Treatment Center Inc

  • Psychologist
  • Marietta, GA
National Provider Identifier
1093868903
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MEDLIN TREATMENT CENTER INC
Practice address
698 N Marietta Pkwy NE Ste a
Marietta, GA 30060-1586
Phone
(770) 919-9088
Fax
(770) 919-8708
NPI assigned
Jan 22, 2007
Last updated
Sep 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Mr. Jay J Hall
Title
Vice President
Phone
(770) 919-9088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

698 N Marietta Pkwy NE Ste a
Marietta, GA 30060-1586

Mailing address

698 N Marietta Pkwy NE Ste a
Marietta, GA 30060-1586
Phone (770) 919-9088

National Provider Directory

National Provider Directory

Locations

698 N Marietta Pkwy NE
Ste A
Marietta, GA 30060
Phone (770) 919-9088

110 Eagles Walk
Ste 100
Stockbridge, GA 30281
Phone (770) 507-6044

Practitioners & affiliated clinicians

Practitioners 10

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": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1093868903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "698 N MARIETTA PKWY NE STE A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601586",
            "telephone_number": "770-919-9088",
            "fax_number": "770-919-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 N MARIETTA PKWY NE STE A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601586",
            "telephone_number": "770-919-9088",
            "fax_number": "770-919-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLIN TREATMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "770-919-9088",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.