Project Adam Community Assistance Center, Incorporated

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

DRUG001016 Issued in GA

Legal business name

PROJECT ADAM COMMUNITY ASSISTANCE CENTER, INCORPORATED

Doing business as

Project ADAM

Practice address

112 Lanthier St
Winder, GA 30680-8100

Phone

(770) 867-8003

NPI assigned

Sep 24, 2013

Last updated

Aug 5, 2014By 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

Ms. Lori Gina McDonald, NCAC, II

Title

Executive Director

Phone

(770) 867-8003

Specialties & licenses 2

Addresses

Other names 1

• Project ADAM Doing business as

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

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Ganiat Jaiyesinmi Ajayi, MD

  • Neurology Physician
  • Winder, GA
  • NPI 1023170842
  NPD (past)

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1750717682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 LANTHIER ST",
            "address_2": "P.O. BOX 2",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306808100",
            "telephone_number": "770-867-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 LANTHIER ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306808100",
            "telephone_number": "770-867-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT ADAM COMMUNITY ASSISTANCE CENTER, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "GINA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "770-867-8003",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NCAC, II"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "GA",
            "license": "DRUG001016",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Project ADAM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in Winder, GA
• Providers in Winder, GA by specialty
• Substance Abuse Rehabilitation Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.