Active NPI
Fairland Recovery Center
- Substance Abuse Rehabilitation Facility
- Rome, GA
National Provider Identifier
1730954777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 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 |
|---|---|---|---|
| 11D2293294 | Fairland Recovery Center Inc | Certificate of waiver | Nov 6, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Gainesville, GA
- NPI 1558389817
-
- General Practice Physician
- Alpharetta, GA
- NPI 1720174873
-
- Family Nurse Practitioner
- Atlanta, GA
- NPI 1427424928
-
- Family Medicine Physician
- Mableton, GA
- NPI 1558504308
-
- Professional Counselor
- Stuart, FL
- NPI 1548648678
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.