Genesis Treatment Center

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

3336C0002X Issued in GA

Legal business name

GENESIS TREATMENT CENTER

Practice address

1022 Hillcrest Pkwy
Ste 106
Dublin, GA 31021

Phone

(478) 272-5020

Fax

(478) 272-5024

NPI assigned

Jul 27, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Nathaniel Veal Jr.NPI 1760101901

Title

Director

Phone

(478) 272-5020

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Nathaniel Veal

  • Legal Medicine
  • Dublin, GA
  • NPI 1760101901
  NPD Authorized official
• Antonio Miller, RN

  • Family Nurse Practitioner
  • Camilla, GA
  • NPI 1679041107
  NPD (past)

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1811243868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 HILLCREST PARKWAY",
            "address_2": "STE 100 P.O. BOX 16062",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "31021",
            "telephone_number": "478-272-5020",
            "fax_number": "478-272-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 HILLCREST PKWY",
            "address_2": "STE 106",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "31021",
            "telephone_number": "478-272-5020",
            "fax_number": "478-272-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-27",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "VEAL",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "478-272-5020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "GA",
            "license": "3336C0002X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayco, Inc.
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• GBM Family Care Services LLC
• General and Thoracic Surgery of Georgia,LLC
• Sue Avery Gentry, CRNA
• Arun George, M.D.
• Joyce A. George, RD LD
• Kaleb George
• Mattie Ruth George, RN

• Health Maintenance Organization in Dublin, GA
• Providers in Dublin, GA by specialty
• Health Maintenance Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.