Organization Active NPI

Georgia Recovery Campus,LLC

Doing business as Georgia Recovery Campus Augusta

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Augusta, GA
National Provider Identifier
1841146362
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
GEORGIA RECOVERY CAMPUS,LLC
Doing business as
Georgia Recovery Campus Augusta
Practice address
602 3Rd St
Augusta, GA 30901-2570
Phone
(478) 216-1110
NPI assigned
Mar 6, 2026
Last updated
Mar 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Amber Blacklock
Title
Director of Finance
Phone
(478) 216-1110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

602 3Rd St
Augusta, GA 30901-2570

Mailing address

211 Goose Hollow Rd
Reynolds, GA 31076-3505

Other names 1

  • Georgia Recovery Campus Augusta Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Georgia Recovery Campus Augusta4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

602 3rd St
Augusta, GA 30901
Phone (478) 216-1110

211 Goose Hollow Rd
Reynolds, GA 31076
Phone (478) 216-1110

NPI Registry JSON

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

{
    "created_epoch": "1772755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1841146362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 GOOSE HOLLOW RD",
            "city": "REYNOLDS",
            "state": "GA",
            "postal_code": "310763505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 3RD ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012570",
            "telephone_number": "478-216-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA RECOVERY CAMPUS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "BLACKLOCK",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "478-216-1110"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgia Recovery Campus Augusta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.