Toxicology Associates of North Georgia, Inc.

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

NTP000032 Issued in GA

Legal business name

TOXICOLOGY ASSOCIATES OF NORTH GEORGIA, INC.

Practice address

1700 Cumberland Point Dr SE
Suite 1
Marietta, GA 30067-9202

Phone

(770) 612-8264

Fax

(770) 612-0716

NPI assigned

Jan 27, 2010

Last updated

Jan 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carolyn Keelaghan, JD

Title

Program Sponsor

Phone

(770) 612-8264

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1487985719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 PEACHTREE RD NE",
            "address_2": "# D-291",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091148",
            "telephone_number": "770-612-8264",
            "fax_number": "770-612-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CUMBERLAND POINT DR SE",
            "address_2": "SUITE 1",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679202",
            "telephone_number": "770-612-8264",
            "fax_number": "770-612-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOXICOLOGY ASSOCIATES OF NORTH GEORGIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "KEELAGHAN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "PROGRAM SPONSOR",
        "authorized_official_telephone_number": "770-612-8264",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "GA",
            "license": "NTP000032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.