Active NPI
American Addiction Treatment Center, Inc
Doing business as American Addiction Treatment Center-Gloucester
- Methadone Clinic
- Hayes, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- Legal business name
- AMERICAN ADDICTION TREATMENT CENTER, INC
- Doing business as
- American Addiction Treatment Center-Gloucester
Pinnacle Treatment Services of Gloucester - Practice address
- 6983C Mid County LN
Hayes, VA 23072-2833 - Phone
- (804) 824-2814
- Fax
- (804) 824-2817
- NPI assigned
- Apr 15, 2019
- Last updated
- Oct 1, 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
- Robyn Tanis
- Title
- Executive Director of Contract MGMT
- Phone
- (856) 533-8762
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | NU | Primary | |
| Recovery Care Clinic/Center | 261QR0800X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
6983C Mid County LN
Hayes, VA 23072-2833
Mailing address
1317 Route 73
Mount Laurel, NJ 08054-2202
Phone (856) 439-6111
Other names 2
- American Addiction Treatment Center-Gloucester
- Pinnacle Treatment Services of Gloucester
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200130001005 | VA | Part B Supplier - Opioid Treatment Program (Otp) | 1658707286 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hayes, VA; Newport News, VA; Williamsburg, VA |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Pinnacle Treatment Services of Newport News
- Methadone Clinic
- Newport News, VA
- NPI 1447813639
O20200130001005
-
dba American Addiction Treatment Center-Williamsburg
- Methadone Clinic
- Williamsburg, VA
- NPI 1932762127
O20200130001005
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2163554 | American Addiction Treatment Center, Hayes | Certificate of waiver | Mar 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
6983C Mid County Ln
Hayes, VA 23072
Phone (804) 824-2814
12695 McManus Blvd
Bldg 2
Newport News, VA 23602
Phone (757) 234-4139
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Williamsburg, VA
- NPI 1174985824
-
- Clinical Social Worker
- Williamsburg, VA
- NPI 1164374583
-
- Advanced Practice Midwife
- Newport News, VA
- NPI 1457712556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759276800000",
"number": "1710540919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 ROUTE 73",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080542202",
"telephone_number": "856-439-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6983C MID COUNTY LN",
"city": "HAYES",
"state": "VA",
"postal_code": "230722833",
"telephone_number": "804-824-2814",
"fax_number": "804-824-2817"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN ADDICTION TREATMENT CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-15",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A",
"authorized_official_last_name": "TANIS",
"authorized_official_first_name": "ROBYN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF CONTRACT MGMT",
"authorized_official_telephone_number": "856-533-8762"
},
"taxonomies": [
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QR0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Recovery Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "American Addiction Treatment Center-Gloucester",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Pinnacle Treatment Services of Gloucester",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hayes, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.