Active NPI
Athens Area Commencement Center
- Substance Abuse Rehabilitation Facility
- Athens, GA
National Provider Identifier
1356419097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 029554D
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 029554D | Other | GA | STATE LICENSE NUMBER |
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 |
|---|---|---|---|
| 11D2019424 | Athens Area Commencement Center | Certificate of waiver | Jan 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Athens, GA
- NPI 1487682787
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
- Njika Atemnkeng, MD
- Athen Kids Specialists P.C
- Athena Hospice, LLC
- Athena Urology Surgery Center LLC
- Athens Addiction Recovery Center, L.L.C.
- Athens Area Counseling Center
- Athens Area Internal Medicine
- Athens Area Pediatrics LLC
- Athens Area Surgical Associates, P.C.
- Athens Associates in Family Practice
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.