Organization Active NPI

Fairland Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Rome, GA
National Provider Identifier
1730954777
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
FAIRLAND RECOVERY CENTER
Practice address
4451 Alabama Hwy NW
Rome, GA 30165-9200
Phone
(770) 296-4555
NPI assigned
Nov 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Connor Lawrence
Title
Ceo
Phone
(770) 296-4555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

4451 Alabama Hwy NW
Rome, GA 30165-9200

Mailing address

4451 Alabama Highway
Rome, GA 30165-0000
Phone (770) 296-4555

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2293294Fairland Recovery Center Inc4451 Alabama Highway NW, Rome, GA 30165Certificate of waiverNov 6, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1730954777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 ALABAMA HIGHWAY",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301650000",
            "telephone_number": "770-296-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 ALABAMA HWY NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301659200",
            "telephone_number": "770-296-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRLAND RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CONNOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-296-4555"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.

Verify at the official NPI Registry.