Organization Active NPI

Georgia CTC, LLC

Doing business as Dallas Comprehensive Treatment Center

  • Methadone Clinic
  • Dallas, GA
National Provider Identifier
1407582042
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
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, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ACADIA HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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)CodeLicenseStatePrimary
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 Doing business as

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 IDStateProvider typePAC IDDetails
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 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
11D2268342Georgia CTC, LLC514 W Maple Street Suite 1203, Cumming, GA 30040Certificate of waiverSep 8, 2026
11D2268344Georgia CTC, LLC311 White Ingram Parkway, Dallas, GA 30132Certificate of waiverSep 8, 2026
11D2268357Georgia CTC LLC270 Heritage Walk, Woodstock, GA 30188Certificate of waiverSep 8, 2026
11D2268576Georgia CTC, LLC3543 Highway 81 Suite 201, Loganville, GA 30052Certificate of waiverSep 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.

View all 35

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

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.

Verify at the official NPI Registry.