Active NPI
Green Acres Wellness LLC
- Substance Abuse Rehabilitation Facility
- Alapaha, GA
National Provider Identifier
1316629249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2285180 | Green Acres Wellness | Certificate of waiver | Jul 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
15320 US Highway 129
Alapaha, GA 31622
Phone (229) 213-3363
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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.