Active NPI
Good Landing Recovery Detox and Residential. LLC
- Substance Abuse Rehabilitation Facility
- Gainesville, GA
National Provider Identifier
1730816828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- GOOD LANDING RECOVERY DETOX AND RESIDENTIAL. LLC
- Practice address
- 4141 Old Cornelia Hwy
Gainesville, GA 30507-7784 - Phone
- (770) 450-6120
- Fax
- (770) 353-9469
- NPI assigned
- Aug 8, 2022
- 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
- Mr. Robert Pearson Lewis III
- Title
- Ceo
- Phone
- (770) 353-9660
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
4141 Old Cornelia Hwy
Gainesville, GA 30507-7784
Mailing address
256 McMillan Rd
Dacula, GA 30019-2337
Phone (770) 450-6120
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | charlie@goodlandingreecovery.com | Direct |
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 |
|---|---|---|---|
| 11D2261873 | Good Landing Recovery Detox and Residential, LLC | Certificate of waiver | Jun 6, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Dacula, GA
- NPI 1881320083
-
- Psychiatry Physician
- Augusta, GA
- NPI 1558510453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659916800000",
"number": "1730816828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 MCMILLAN RD",
"city": "DACULA",
"state": "GA",
"postal_code": "300192337",
"telephone_number": "770-450-6120",
"fax_number": "770-353-9569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4141 OLD CORNELIA HWY",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305077784",
"telephone_number": "770-450-6120",
"fax_number": "770-353-9469"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD LANDING RECOVERY DETOX AND RESIDENTIAL. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-08",
"last_updated": "2022-08-08",
"certification_date": "2022-08-08",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "PEARSON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "770-353-9660",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "charlie@goodlandingreecovery.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4141 Old Cornelia Hwy",
"city": "Gainesville",
"state": "GA",
"country_code": "US",
"postal_code": "305077784",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.