Active NPI
Georgia CTC, LLC
Doing business as Dallas Comprehensive Treatment Center
- Methadone Clinic
- Dallas, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- Legal business name
- GEORGIA CTC, LLC
- Doing business as
- Dallas Comprehensive Treatment Center
- Practice address
- 311 White Ingram Pkwy
Dallas, GA 30132-0969 - Phone
- (770) 615-0951
- Fax
- (678) 363-7787
- NPI assigned
- Jul 26, 2022
- Last updated
- Apr 8, 2026
- Organization subpart
- Yes
- Parent organization
- ACADIA HEALTHCARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Phillip Farley
- Title
- VP & Secretary
- Phone
- (615) 716-9335
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | Primary | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
311 White Ingram Pkwy
Dallas, GA 30132-0969
Mailing address
PO Box 682669
Franklin, TN 37068-2669
Phone (615) 861-6000
Other practice location 1
270 Heritage Walk
Woodstock, GA 30188-3875
Phone (678) 494-5700
Other practice location 2
3543 Highway 81 Ste 201
Loganville, GA 30052-4336
Phone (770) 618-9978
Other practice location 3
514 W Maple St Ste 1203
Cumming, GA 30040-2536
Phone (470) 835-4871
Other names 1
- Dallas Comprehensive Treatment Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Opioid treatment program
- Medicare-enrolled since Sep 30, 2022
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220914003455 | GA | Part B Supplier - Opioid Treatment Program (Otp) | 1456736255 | Practice locations: Cumming, GA; Dallas, GA; Loganville, GA; Woodstock, GA |
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 |
|---|---|---|---|
| 11D2268342 | Georgia CTC, LLC | Certificate of waiver | Sep 8, 2026 |
| 11D2268344 | Georgia CTC, LLC | Certificate of waiver | Sep 8, 2026 |
| 11D2268357 | Georgia CTC LLC | Certificate of waiver | Sep 8, 2026 |
| 11D2268576 | Georgia CTC, LLC | Certificate of waiver | Sep 13, 2026 |
National Provider Directory
National Provider Directory- Part of
- Acadia Healthcare
Locations
514 W Maple St
Ste 1203
Cumming, GA 30040
Phone (470) 835-4871
311 White Ingram Pkwy
Dallas, GA 30132
Phone (678) 363-7447
3543 Highway 81
Ste 201
Loganville, GA 30052
Phone (404) 545-7279
270 Heritage Walk
Woodstock, GA 30188
Phone (678) 494-5700
Practitioners & affiliated clinicians
Practitioners 35
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Licensed Practical Nurse
- Dallas, GA
- NPI 1770388027
-
- Addiction (Substance Use Disorder) Counselor
- Dallas, GA
- NPI 1184408312
-
- Rehabilitation Practitioner
- Dallas, GA
- NPI 1861560021
-
- Licensed Practical Nurse
- Dallas, GA
- NPI 1508450156
-
- Licensed Practical Nurse
- Dallas, GA
- NPI 1679292122
-
- Licensed Practical Nurse
- Dallas, GA
- NPI 1447844071
-
- Licensed Practical Nurse
- Dallas, GA
- NPI 1659133593
-
- Addiction (Substance Use Disorder) Counselor
- Woodstock, GA
- NPI 1295485118
-
- Mental Health Counselor
- Woodstock, GA
- NPI 1053169409
-
- Addiction (Substance Use Disorder) Counselor
- Woodstock, GA
- NPI 1275373979
-
- Licensed Practical Nurse
- Woodstock, GA
- NPI 1154040699
-
- Addiction (Substance Use Disorder) Counselor
- Woodstock, GA
- NPI 1689385882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775606400000",
"number": "1407582042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 682669",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370682669",
"telephone_number": "615-861-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 WHITE INGRAM PKWY",
"city": "DALLAS",
"state": "GA",
"postal_code": "301320969",
"telephone_number": "770-615-0951",
"fax_number": "678-363-7787"
}
],
"practiceLocations": [
{
"address_1": "270 Heritage Walk",
"address_purpose": "LOCATION",
"city": "Woodstock",
"state": "GA",
"postal_code": "301883875",
"country_code": "US",
"telephone_number": "678-494-5700",
"fax_number": "678-494-5703",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3543 Highway 81 Ste 201",
"address_purpose": "LOCATION",
"city": "Loganville",
"state": "GA",
"postal_code": "300524336",
"country_code": "US",
"telephone_number": "770-618-9978",
"fax_number": "770-674-0250",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "514 W Maple St Ste 1203",
"address_purpose": "LOCATION",
"city": "Cumming",
"state": "GA",
"postal_code": "300402536",
"country_code": "US",
"telephone_number": "470-835-4871",
"fax_number": "770-844-7836",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GEORGIA CTC, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ACADIA HEALTHCARE",
"enumeration_date": "2022-07-26",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A",
"authorized_official_last_name": "FARLEY",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "PHILLIP",
"authorized_official_title_or_position": "VP & SECRETARY",
"authorized_official_telephone_number": "615-716-9335"
},
"taxonomies": [
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dallas Comprehensive Treatment Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dallas, GA
- Tara Grace Garner
- Kanisha Kintrell Garrett, MA, BCBA
- Shelly Leigh Garvin
- Veronica Cristina Garza, OT
- James George
- Georgia CVS Pharmacy LLC (CVS Pharmacy # 05622)
- Georgia CVS Pharmacy, L.L.C. (CVS Pharmacy #06012)
- Georgia Dental Professionals, PC (Picketts Mill Dental Care)
- Mary Njeri Gichuru, PHARMD
- Kelsey Gilbreath
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.