Organization Active NPI

Green Acres Wellness LLC

  • Substance Abuse Rehabilitation Facility
  • Alapaha, GA
National Provider Identifier
1316629249
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
GREEN ACRES WELLNESS LLC
Practice address
15320 US Highway 129
Alapaha, GA 31622-7351
Phone
(772) 812-9652
Fax
(833) 535-0164
NPI assigned
Aug 1, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jared Turner
Title
Billing Manager
Phone
(772) 812-9652

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2285180Green Acres Wellness15320 US Hwy 129, Alapaha, GA 31622Certificate of waiverJul 6, 2027

National Provider Directory

National Provider Directory

Locations

15320 US Highway 129
Alapaha, GA 31622
Phone (229) 213-3363

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

15320 US Highway 129
Alapaha, GA 31622-7351

Mailing address

15320 US Highway 129
Alapaha, GA 31622-7351
Phone (772) 812-9652

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 1, 2023.

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1316629249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15320 US HIGHWAY 129",
            "city": "ALAPAHA",
            "state": "GA",
            "postal_code": "316227351",
            "telephone_number": "772-812-9652",
            "fax_number": "833-535-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15320 US HIGHWAY 129",
            "city": "ALAPAHA",
            "state": "GA",
            "postal_code": "316227351",
            "telephone_number": "772-812-9652",
            "fax_number": "833-535-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN ACRES WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "772-812-9652"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alapaha, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.