NPIMap

Organization Active NPI

Stonebraker'S, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Roswell, GA
National Provider Identifier
1497922801
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
028-556-D Issued in GA
Legal business name
STONEBRAKER'S, INC
Practice address
5110 Old Ellis PT
Roswell, GA 30076-3863
Phone
(770) 751-8383
Fax
(770) 751-7282
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Mr. Michael C. Stonebraker, ICCS, ICADC, CAC II,
Title
Executive Director
Phone
(770) 751-8383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 028-556-D GA Primary

Addresses

Primary practice location

5110 Old Ellis PT
Roswell, GA 30076-3863

Mailing address

5110 Old Ellis PT
Roswell, GA 30076-3863
Phone (770) 751-8383

Other names 1

  • The Insight Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stonebraker'S Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1497922801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 OLD ELLIS PT",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763863",
            "telephone_number": "770-751-8383",
            "fax_number": "770-751-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 OLD ELLIS PT",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763863",
            "telephone_number": "770-751-8383",
            "fax_number": "770-751-7282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEBRAKER'S, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "STONEBRAKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "770-751-8383",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ICCS, ICADC, CAC II,"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "GA",
            "license": "028-556-D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Insight Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.