Active NPI
Foundations Atlanta, LLC
- Substance Abuse Rehabilitation Facility
- Atlanta, GA
National Provider Identifier
1780099416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 060242D
- Legal business name
- FOUNDATIONS ATLANTA, LLC
- Practice address
- 1708 Peachtree St NW Ste 300
Atlanta, GA 30309-2434 - Phone
- (404) 481-0076
- NPI assigned
- Jun 20, 2014
- Last updated
- May 20, 2019
- Organization subpart
- Yes
- Parent organization
- FOUNDATIONS RECOVERY NETWORK
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steve Filton
- Title
- Evp-Chief Financial Officer
- Phone
- (610) 382-3319
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 060242D | GA | Primary |
Addresses
Primary practice location
1708 Peachtree St NW Ste 300
Atlanta, GA 30309-2434
Mailing address
1000 Health Park Drive
Building Three, Suite 400
Brentwood, TN 37027
Phone (615) 386-7255
National Provider Directory
National Provider Directory- Part of
- Dual Diagnosis Management LLC Dba Palmsprings Serenity Retreat
Locations
1708 Peachtree St NW
Ste 300
Atlanta, GA 30309
Phone (404) 270-1016
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Substance Abuse Rehabilitation Facility
- Roswell, GA
- NPI 1013162593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1558310400000",
"number": "1780099416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 HEALTH PARK DRIVE",
"address_2": "BUILDING THREE, SUITE 400",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "37027",
"telephone_number": "615-386-7255",
"fax_number": "615-645-7445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 PEACHTREE ST NW STE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303092434",
"telephone_number": "404-481-0076"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUNDATIONS ATLANTA, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FOUNDATIONS RECOVERY NETWORK",
"enumeration_date": "2014-06-20",
"last_updated": "2019-05-20",
"status": "A",
"authorized_official_last_name": "FILTON",
"authorized_official_first_name": "STEVE",
"authorized_official_title_or_position": "EVP-CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "610-382-3319"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "GA",
"license": "060242D",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Fountain of Youth MD LLC
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- Alison Virginia Fountain, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.