Organization Active NPI

New Start - Mville LLC

  • Methadone Clinic
  • Milledgeville, GA
National Provider Identifier
1548844772
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
NEW START - MVILLE LLC
Practice address
1211 N Columbia Dr
Milledgeville, GA 31061-2395
Phone
(678) 858-2837
NPI assigned
May 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Authorized official

Name
Marlon Lloyd
Title
Cfo
Phone
(678) 858-2837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

1211 N Columbia Dr
Milledgeville, GA 31061-2395

Mailing address

1211 N Columbia Dr
Milledgeville, GA 31061-2395
Phone (678) 858-2837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Opioid treatment program
Medicare-enrolled since Feb 21, 2025

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230501000347 GA Part B Supplier - Opioid Treatment Program (Otp) 1254796022 Practice locations: Milledgeville, GA

National Provider Directory

National Provider Directory

Locations

1211 N Columbia Dr
Milledgeville, GA 31061
Phone (478) 452-1780

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1548844772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N COLUMBIA DR",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612395",
            "telephone_number": "678-858-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N COLUMBIA DR",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612395",
            "telephone_number": "678-858-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW START - MVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "MARLON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "678-858-2837"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.