Active NPI
Bethesda Recovery
- Substance Abuse Rehabilitation Facility
- Waycross, GA
National Provider Identifier
1306567342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- BETHESDA RECOVERY
- Practice address
- 1010 Mary St
Waycross, GA 31503-3849 - Phone
- (912) 283-8580
- NPI assigned
- Sep 8, 2022
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Cathy Herndon Sweat, CADCII
- Title
- Clinical Director
- Phone
- (912) 283-8580
National Provider Directory
National Provider DirectoryLocations
1010 Mary St
Waycross, GA 31503
Phone (229) 289-0269
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1010 Mary St
Waycross, GA 31503-3849
Mailing address
1010 Mary St
Waycross, GA 31503-3849
Phone (912) 283-8580
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cathy@bethesdarecovery.net |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 8, 2022.
{
"created_epoch": "1662595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662595200000",
"number": "1306567342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 MARY ST",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315033849",
"telephone_number": "912-283-8580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 MARY ST",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315033849",
"telephone_number": "912-283-8580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETHESDA RECOVERY",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-08",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A",
"authorized_official_last_name": "SWEAT",
"authorized_official_first_name": "CATHY",
"authorized_official_middle_name": "HERNDON",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "912-283-8580",
"authorized_official_credential": "CADCII"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cathy@bethesdarecovery.net",
"affiliation": "N",
"address_1": "1010 Mary St",
"city": "Waycross",
"state": "GA",
"country_code": "US",
"postal_code": "315033849",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waycross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.