Active NPI
Red Top Wellness Center
- Substance Abuse Rehabilitation Facility
- Cartersville, GA
National Provider Identifier
1346952850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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, 2023
- Organization subpart
- Yes
- Parent organization
- NORTH GEORGIA RECOVERY CENTER LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbrock@redtopwellness.com |
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 |
|---|---|---|---|
| 11D2273547 | Red Top Wellness Center, LLC | Certificate of waiver | Dec 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.
-
- Substance Abuse Rehabilitation Facility
- Kennesaw, GA
- NPI 1558991679
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.