Organization Active NPI

Red Top Wellness Center

  • Substance Abuse Rehabilitation Facility
  • Cartersville, GA
National Provider Identifier
1346952850
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
RED TOP WELLNESS CENTER
Practice address
5 Bowen CT
Cartersville, GA 30120-2493
Phone
(770) 289-5483
NPI assigned
Dec 15, 2022
Last updated
Apr 21, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH GEORGIA RECOVERY CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Authorized official

Name
Mrs. Jaimy Brock
Title
Director of Compliance
Phone
(678) 334-6651

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

5 Bowen CT
Cartersville, GA 30120-2493

Mailing address

PO Box 440462
Kennesaw, GA 30160-9508
Phone (770) 726-2985

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbrock@redtopwellness.com

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
11D2273547Red Top Wellness Center, LLC5 Bowen Court, Cartersville, GA 30120Certificate of waiverDec 14, 2026

National Provider Directory

National Provider Directory
Part of
North Georgia Recovery Center LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1346952850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440462",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301609508",
            "telephone_number": "770-726-2985",
            "fax_number": "678-909-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BOWEN CT",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202493",
            "telephone_number": "770-289-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED TOP WELLNESS CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH GEORGIA RECOVERY CENTER LLC",
        "enumeration_date": "2022-12-15",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "JAIMY",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "678-334-6651",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbrock@redtopwellness.com",
            "affiliation": "N",
            "address_1": "5 Bowen Ct",
            "city": "Cartersville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301202493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.