Active NPI
The Genesis Center of Winder LLC
- Methadone Clinic
- Winder, GA
National Provider Identifier
1669005625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- Legal business name
- THE GENESIS CENTER OF WINDER LLC
- Practice address
- 206 E Broad St
Winder, GA 30680-2202 - Phone
- (404) 558-6852
- NPI assigned
- Feb 19, 2020
- Last updated
- Jan 13, 2025
- 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
- Deborah McDonald
- Title
- Ceo/Administrator
- Phone
- (678) 900-1579
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | NU | Primary |
Addresses
Primary practice location
206 E Broad St
Winder, GA 30680-2202
Mailing address
206 E Broad St
Winder, GA 30680-2202
Phone (404) 558-6852
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | grrcwinder@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opioid treatment program
- Medicare-enrolled since Jan 21, 2026
National Provider Directory
National Provider DirectoryLocations
206 E Broad St
Winder, GA 30680
Phone (770) 307-5944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736726400000",
"number": "1669005625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 E BROAD ST",
"city": "WINDER",
"state": "GA",
"postal_code": "306802202",
"telephone_number": "404-558-6852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 E BROAD ST",
"city": "WINDER",
"state": "GA",
"postal_code": "306802202",
"telephone_number": "404-558-6852"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE GENESIS CENTER OF WINDER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-19",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A",
"authorized_official_last_name": "MCDONALD",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "CEO/ADMINISTRATOR",
"authorized_official_telephone_number": "678-900-1579"
},
"taxonomies": [
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "grrcwinder@gmail.com",
"affiliation": "N",
"address_1": "206 E Broad St",
"city": "Winder",
"state": "GA",
"country_code": "US",
"postal_code": "306802202",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winder, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.