NPIMap

Organization Active NPI

Lanier Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Gainesville, GA
National Provider Identifier
1215492186
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
LANIER TREATMENT CENTER
Practice address
592 Medical Park Dr Ste a
Gainesville, GA 30501-2055
Phone
(770) 503-7721
NPI assigned
Feb 5, 2019
Last updated
Feb 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Authorized official

Name
Bradwell Rustin McAlister II, MDNPI 1992878045
Title
Provider
Phone
(770) 503-7721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

592 Medical Park Dr Ste a
Gainesville, GA 30501-2055

Mailing address

592 Medical Park Dr Ste a
Gainesville, GA 30501-2055
Phone (770) 503-7721

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200319001686 GA Part B Supplier - Opioid Treatment Program (Otp) 7012345374 Practice locations: Gainesville, GA

National Provider Directory

National Provider Directory

Locations

592 Medical Park Dr
#A
Gainesville, GA 30501
Phone (770) 374-0068

Practitioners & affiliated clinicians

Practitioners 6

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": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1215492186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "592 MEDICAL PARK DR STE A",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012055",
            "telephone_number": "770-503-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "592 MEDICAL PARK DR STE A",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012055",
            "telephone_number": "770-503-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANIER TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A",
        "authorized_official_last_name": "MCALISTER",
        "authorized_official_first_name": "BRADWELL",
        "authorized_official_middle_name": "RUSTIN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "770-503-7721",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.