Edge Treatment LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

EDGE TREATMENT LLC

Practice address

11205 Alpharetta Hwy Ste H4
Roswell, GA 30076-5649

Phone

(706) 342-6024

NPI assigned

Aug 24, 2023

Organization subpart

No

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

Authorized official

Name

Joshua Jarvis

Title

Ceo

Phone

(706) 342-6024

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1265216683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11205 ALPHARETTA HWY STE H4",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11205 ALPHARETTA HWY STE H4",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765649",
            "telephone_number": "706-342-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGE TREATMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "JARVIS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-342-6024"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Kennedy East
• Adrien Caylin Easterwood, BCBA
• Robert Murphy Eberbaugh, D.D.S.
• Ec Roswell Operations, LLC (Elmcroft of Roswell)
• Angela Christine Edgar, RN, BSN, CCRN, CMC
• Edi Care Group LLC
• Madelon Edmondson
• Neena Edupuganti
• Edward J Furey OD PC
• Corrinna Monique Edwards, CPM

• Substance Abuse Rehabilitation Facility in Roswell, GA
• Providers in Roswell, GA by specialty
• Substance Abuse Rehabilitation Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.