NPIMap

Organization Active NPI

Georgia Treatment Services LLC

  • Methadone Clinic
  • Macon, GA
National Provider Identifier
1578125282
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
GEORGIA TREATMENT SERVICES LLC
Practice address
6132 Hawkinsvill Road
Macon, GA 31216
Phone
(478) 788-0066
Fax
(478) 785-3104
NPI assigned
Jul 2, 2019
Last updated
Oct 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Scott Thompson
Title
Chief Executive Officer
Phone
(918) 289-0270

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

6132 Hawkinsvill Road
Macon, GA 31216

Mailing address

7134 S Yale Ave Ste 560
Tulsa, OK 74136-6352
Phone (478) 788-0066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200123000290 GA Part B Supplier - Opioid Treatment Program (Otp) 9335574201 Practice locations: Macon, GA

National Provider Directory

National Provider Directory

Locations

6132 Hawkinsville Rd
Macon, GA 31216
Phone (478) 788-0066

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1578125282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7134 S YALE AVE STE 560",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366352",
            "telephone_number": "478-788-0066",
            "fax_number": "478-785-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6132 HAWKINSVILL ROAD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31216",
            "telephone_number": "478-788-0066",
            "fax_number": "478-785-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA TREATMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "918-289-0270"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.