DMC-Memphis, LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

DMC-MEMPHIS, LLC

Doing business as

Delta Comprehensive Treatment Center

Practice address

3000 Getwell Road
Memphis, TN 38118

Phone

(901) 369-6964

NPI assigned

Apr 29, 2020

Organization subpart

Yes

Parent organization

ACADIA HEALTHCARE COMPANY, INC.As reported in NPPES

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

Authorized official

Name

Brian Phillip Farley

Title

VP & Secretary

Phone

(615) 861-6000

Specialties & licenses 1

Addresses

Other names 1

• Delta Comprehensive Treatment Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

Opioid treatment program

Medicare-enrolled since Jan 4, 2022

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• DMC-Memphis, LLC

  dba Delta Specialty Hospital

  • Psychiatric Hospital
  • Memphis, TN
  • NPI 1629296058

  0143121186

  Same PAC ID

Tax ID family

DMC-Memphis LLC2 organizations share this tax ID, including this one

Part of

Haven Behavioral Healthcare

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• DMC-Memphis,LLC

  dba Delta Specialty Hospital

  • Clinic/Center
  • Memphis, TN
  • NPI 1073936696
  NPD tax ID

Locations

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1689295719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6183 PASEO DEL NORTE",
            "address_2": "STE 200",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111155",
            "telephone_number": "855-259-2288",
            "fax_number": "877-552-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 GETWELL ROAD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38118",
            "telephone_number": "901-369-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMC-MEMPHIS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACADIA HEALTHCARE COMPANY, INC.",
        "enumeration_date": "2020-04-29",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "VP & SECRETARY",
        "authorized_official_telephone_number": "615-861-6000"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Delta Comprehensive Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• DJ's Non-Emergency Transportation,LLC
• Kevin Alexander Djordjevic, DO
• Susan Dluhos, PT
• DMC-Memphis, LLC (Delta Specialty Hospital)
• DMC-Memphis, LLC (Delta Specialty Hospital)
• DMC-Memphis,LLC (Delta Specialty Hospital)
• Kevin Doan
• Darrell Doane
• Dushyant Gopal Dobaria, M.D.
• Kimberly Dobbin

• Methadone Clinic in Memphis, TN
• Providers in Memphis, TN by specialty
• Methadone Clinic in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.