Organization Active NPI

Bethesda Recovery

  • Substance Abuse Rehabilitation Facility
  • Waycross, GA
National Provider Identifier
1306567342
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
BETHESDA RECOVERY
Practice address
1010 Mary St
Waycross, GA 31503-3849
Phone
(912) 283-8580
NPI assigned
Sep 8, 2022
Last updated
Sep 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Cathy Herndon Sweat, CADCII
Title
Clinical Director
Phone
(912) 283-8580

Specialties & licenses 1

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

Addresses

Primary 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

TypeEndpointUseAffiliation
Direct Messaging Address cathy@bethesdarecovery.net

National Provider Directory

National Provider Directory

Locations

1010 Mary St
Waycross, GA 31503
Phone (229) 289-0269

Interoperability endpoints

  • Direct secure messaging: cathy@bethesdarecovery.net

NPI Registry JSON

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

{
    "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.

Verify at the official NPI Registry.