NPIMap

Organization Active NPI

Ga. MTNS Community Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Gainesville, GA
National Provider Identifier
1275686198
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
0591 Issued in GA
Legal business name
GA. MTNS COMMUNITY SERVICES
Practice address
2318 Browns Bridge Rd
Gainesville, GA 30504-6041
Phone
(678) 207-1663
Fax
(678) 207-1620
NPI assigned
Jan 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jon C. Rubenow, D.O.
Title
Medical Director
Phone
(678) 513-5707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 0591 GA Primary

Addresses

Primary practice location

2318 Browns Bridge Rd
Gainesville, GA 30504-6041

Mailing address

2315 Stephens Cir
Gainesville, GA 30506-1115
Phone (770) 536-4959

National Provider Directory

National Provider Directory
Tax ID family
Georigia Mountians Community Services127 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

2318 Browns Bridge Rd
Gainesville, GA 30504
Phone (770) 535-5403

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275686198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 STEPHENS CIR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305061115",
            "telephone_number": "770-536-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 BROWNS BRIDGE RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305046041",
            "telephone_number": "678-207-1663",
            "fax_number": "678-207-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GA. MTNS COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUBENOW",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MEDICAL  DIRECTOR",
        "authorized_official_telephone_number": "678-513-5707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "GA",
            "license": "0591",
            "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 Aug 22, 2020; 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.