Organization Active NPI

Athens Area Commencement Center

  • Substance Abuse Rehabilitation Facility
  • Athens, GA
National Provider Identifier
1356419097
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
029554D Issued in GA
Legal business name
ATHENS AREA COMMENCEMENT CENTER
Practice address
1175 Mitchell Bridge Rd
Athens, GA 30606-6411
Phone
(706) 475-5797
Fax
(706) 546-8439
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James Hinzman
Title
Director
Phone
(706) 475-5797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 029554D GA Primary

Addresses

Primary practice location

1175 Mitchell Bridge Rd
Athens, GA 30606-6411

Mailing address

1175 Mitchell Bridge Rd
Athens, GA 30606-6411
Phone (706) 475-5797

Other identifiers 1

IdentifierTypeStateIssuer
029554DOtherGASTATE LICENSE NUMBER

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
11D2019424Athens Area Commencement Center1175 Mitchell Bridge Road, Athens, GA 30606Certificate of waiverJan 30, 2027

National Provider Directory

National Provider Directory

Locations

1175 Mitchell Bridge Rd
Athens, GA 30606
Phone (706) 475-5797

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356419097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 MITCHELL BRIDGE RD",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066411",
            "telephone_number": "706-475-5797",
            "fax_number": "706-546-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 MITCHELL BRIDGE RD",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066411",
            "telephone_number": "706-475-5797",
            "fax_number": "706-546-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS AREA COMMENCEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HINZMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "706-475-5797"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "GA",
            "license": "029554D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "029554D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.