Organization Active NPI

The Genesis Center of Winder LLC

  • Methadone Clinic
  • Winder, GA
National Provider Identifier
1669005625
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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 Directory

Locations

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.

Verify at the official NPI Registry.