Toxicology Associates of N Georgia Carrollton, Inc.

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

NTP001037 Issued in GA

Legal business name

TOXICOLOGY ASSOCIATES OF N GEORGIA CARROLLTON, INC.

Practice address

2536 Carrollton Villa Rica Hwy
Carrollton, GA 30116-5510

Phone

(770) 248-1616

Fax

(770) 248-1618

NPI assigned

Jan 20, 2010

Last updated

Feb 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carolyn Keelaghan, J.D.

Title

Program Sponsor

Phone

(770) 248-1616

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Edgar William Johnson III, RPH

  • Pharmacist
  • Carrollton, GA
  • NPI 1336903707
  NPD (past)

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1710218466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 PEACHTREE RD NE",
            "address_2": "#D-291",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091148",
            "telephone_number": "770-248-1616",
            "fax_number": "770-248-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2536 CARROLLTON VILLA RICA HWY",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301165510",
            "telephone_number": "770-248-1616",
            "fax_number": "770-248-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOXICOLOGY ASSOCIATES OF N GEORGIA CARROLLTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "KEELAGHAN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "PROGRAM SPONSOR",
        "authorized_official_telephone_number": "770-248-1616",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "GA",
            "license": "NTP001037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TMC-West Georgia Anesthesia Associates Inc.
• TMC/Higgins General Hospital (Tanner Pharmacy)
• TMC/Villa Rica Hospital, Inc (Tanner Specialty Pharmacy)
• John Matthew Tolbert, PA-C
• Total Renal Care Inc (North Carrollton Dialysis)
• Traditions Hospice of Lawrenceville, LLC (Eternal Faith Hospice and Palliative Care)
• Travco Medical Suoolies, Inc
• Sara M Traylor, PHARMD
• Donovan Jamal Troy
• Haley Truett

• Methadone Clinic in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Methadone Clinic in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.