Georgia Therapy Associates

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

NTP001009 Issued in GA

Legal business name

GEORGIA THERAPY ASSOCIATES

Practice address

2797 Campbellton Rd SW
Suite C-3
Atlanta, GA 30311-4455

Phone

(404) 349-6655

Fax

(404) 349-0033

NPI assigned

Mar 13, 2007

Last updated

Aug 22, 2020By 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

Mr. Terry L Willis, M.S., CAS

Title

Chief Executive Officer

Phone

(404) 349-6655

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750414439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2797 CAMPBELLTON RD SW",
            "address_2": "SUITE C-3",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303114455",
            "telephone_number": "404-349-6655",
            "fax_number": "404-349-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2797 CAMPBELLTON RD SW",
            "address_2": "SUITE C-3",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303114455",
            "telephone_number": "404-349-6655",
            "fax_number": "404-349-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "404-349-6655",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., CAS"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "GA",
            "license": "NTP001009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Georgia Thoracic & Cardiovascular Surgical Associates
• Georgia Trans Care SVCS, LLC
• Georgia True Care LLC
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• Methadone Clinic in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Methadone Clinic in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.