NPIMap

Organization Active NPI

Metro Treatment of Georgia, LP

  • Methadone Clinic
  • Norcross, GA
National Provider Identifier
1124235262
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
METRO TREATMENT OF GEORGIA, LP
Practice address
6500 McDonough Dr
Suite B2
Norcross, GA 30093-1235
Phone
(770) 242-7865
Fax
(770) 242-7909
NPI assigned
May 17, 2007
Organization subpart
Yes
Parent organization
METRO TREATMENT OF GEORGIA, LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Authorized official

Name
Maria Jackson
Title
Cfo
Phone
(407) 351-7080

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X GA
Methadone Clinic 261QM2800X Primary
Clinic Pharmacy 3336C0002X PHOP000020 GA

Addresses

Primary practice location

6500 McDonough Dr
Suite B2
Norcross, GA 30093-1235

Mailing address

2500 Maitland Center Parkway
Suite 250
Maitland, FL 32751-4174
Phone (407) 351-7080

Other names 1

  • Atlanta Metro Treatment Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200110002604 GA Part B Supplier - Opioid Treatment Program (Otp) 1759716210 5 other NPIs on this enrollment
Practice locations: Augusta, GA; Columbus, GA; Fort Oglethorpe, GA; Rossville, GA; Savannah, GA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Metro Treatment of Georgia LP

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1124235262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MAITLAND CENTER PARKWAY",
            "address_2": "SUITE 250",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514174",
            "telephone_number": "407-351-7080",
            "fax_number": "407-351-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 MCDONOUGH DR",
            "address_2": "SUITE B2",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931235",
            "telephone_number": "770-242-7865",
            "fax_number": "770-242-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO TREATMENT OF GEORGIA, LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METRO TREATMENT OF GEORGIA, LP",
        "enumeration_date": "2007-05-17",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "407-351-7080"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "GA",
            "license": "PHOP000020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlanta Metro Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atlanta Metro Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.

Verify at the official NPI Registry.