Arise Recovery Residences

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

ARISE RECOVERY RESIDENCES

Doing business as

Arise Recovery & Behavioral Health

Practice address

116 Peachtree CT Ste a
Peachtree City, GA 30269-4800

Phone

(770) 719-1746

Fax

(770) 719-2368

NPI assigned

Oct 14, 2021

Last updated

Feb 20, 2022By 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

Larry Jenkins, B.S, CAC II, NCAC IINPI 1558846196

Title

Ceo

Phone

(678) 216-6706

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Arise Recovery & Behavioral Health Doing business as

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

Practitioners 2

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.

• Larry Jenkins, CACII, NCACII, B.S.

  • Addiction (Substance Use Disorder) Counselor
  • Peachtree City, GA
  • NPI 1558846196
  NPD Authorized official
• Patrice Denise Alexander, LPC

  • Professional Counselor
  • Peachtree City, GA
  • NPI 1295006724
  NPD

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645315200000",
    "number": "1508529827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 PEACHTREE CT STE A",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694800",
            "telephone_number": "678-725-2631",
            "fax_number": "770-719-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 PEACHTREE CT STE A",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694800",
            "telephone_number": "770-719-1746",
            "fax_number": "770-719-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARISE RECOVERY RESIDENCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2022-02-20",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-216-6706",
        "authorized_official_credential": "B.S, CAC II, NCAC II"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DATEP LICENSE",
            "identifier": "DRUG012980",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arise Recovery & Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ankle and Foot Centers of Georgia, LLC
• Brianna Anthony
• Alexis Antoniolli, NP
• Ruby Appiah, M.D.
• Wendy Hunt Archibald, PT
• Mahogany Arnold
• Michael Arnold, BCBA
• Victoria Megan Arnold, M.ED., LPC, NCC
• Janice Arrington, NP
• Chyann Arroyo

• Substance Use Disorder Rehabilitation Clinic/Center in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2022; 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.