Organization Active NPI

Georgetown Treatment Specialists LLC

  • Methadone Clinic
  • Georgetown, SC
National Provider Identifier
1134856214
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
GEORGETOWN TREATMENT SPECIALISTS LLC
Practice address
1306 N Fraser St
Georgetown, SC 29440-2800
Phone
(843) 325-2927
Fax
(843) 325-2928
NPI assigned
Aug 8, 2022
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Amy Marie Nieman
Title
Director of Payer Credentialing
Phone
(513) 544-1003

Practitioners 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Opioid treatment program
Medicare-enrolled since Aug 2, 2024

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241209000032 SC Part B Supplier - Opioid Treatment Program (Otp) 7113453648 Practice locations: Georgetown, SC

National Provider Directory

National Provider Directory

Locations

1306 N Fraser St
Georgetown, SC 29440
Phone (843) 325-2927

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

NPPES NPI Registry

Primary practice location

1306 N Fraser St
Georgetown, SC 29440-2800

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (843) 325-2927

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 3, 2026.

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1134856214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600",
            "telephone_number": "843-325-2927",
            "fax_number": "843-325-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 N FRASER ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294402800",
            "telephone_number": "843-325-2927",
            "fax_number": "843-325-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN TREATMENT SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "NIEMAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR OF PAYER CREDENTIALING",
        "authorized_official_telephone_number": "513-544-1003"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.