Martinsville Treatment Services, LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

MARTINSVILLE TREATMENT SERVICES, LLC

Practice address

8500 Al Philpott Hwy Ste 3
Martinsville, VA 24112-1495

Phone

(276) 226-9925

Fax

(276) 934-6918

NPI assigned

Dec 30, 2021

Last updated

Jan 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robyn Tanis

Title

Executive Director of Contract MGMT

Phone

(856) 533-8762

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Opioid treatment program

Medicare-enrolled since Dec 14, 2022

Enrollment records 1

Locations

Practitioners 4

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.

• Samantha Campbell

  • Addiction (Substance Use Disorder) Counselor
  • Martinsville, VA
  • NPI 1215473129
  NPD
• Ray Mercado, DO

  • General Practice Physician
  • Scarsdale, NY
  • NPI 1275606030
  NPD
• Troy Anthony Davis, MD

  • Addiction Medicine (Anesthesiology) Physician
  • Martinsville, VA
  • NPI 1386107472
  NPD (past)
• Kathryn Chamberlin McBee Johnson, LCSW

  • Clinical Social Worker
  • Martinsville, VA
  • NPI 1720929136
  NPD (past)

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1174283253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 ROUTE 73",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542202",
            "telephone_number": "856-439-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 AL PHILPOTT HWY STE 3",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121495",
            "telephone_number": "276-226-9925",
            "fax_number": "276-934-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINSVILLE TREATMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "TANIS",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF CONTRACT MGMT",
        "authorized_official_telephone_number": "856-533-8762"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martinsville Psychiatry, PLLC
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• Martinsville Smiles, PLLC
• Martinsville Surgical Associates PC
• Martinsville Transit, LLC
• Martinsville Urgent Care LLC
• Martinsville Urologic Clinic PC
• Martinsville VA Clinic
• Marybird Wellness Partners
• Kimberly L Matchett, M.D.

• Methadone Clinic in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Methadone Clinic in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.