Active NPI
New Start - Mville LLC
- Methadone Clinic
- Milledgeville, GA
National Provider Identifier
1548844772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230501000347 | GA | Part B Supplier - Opioid Treatment Program (Otp) | 1254796022 | Practice locations: Milledgeville, GA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Austell, GA
- NPI 1942892484
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.