Platinum Recovery LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

PLATINUM RECOVERY LLC

Practice address

1560 E Forsyth St Apt D
Americus, GA 31709-3836

Phone

(229) 944-4047

Fax

(229) 944-4048

NPI assigned

Feb 9, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Carolyn Powell

Title

Program Director

Phone

(229) 944-4047

Specialties & licenses 1

Addresses

Other names 1

• Platinum Recovery LLC Doing business as

Locations

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1891492914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E FORSYTH ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093836",
            "telephone_number": "229-944-4047",
            "fax_number": "229-944-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 E FORSYTH ST APT D",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093836",
            "telephone_number": "229-944-4047",
            "fax_number": "229-944-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "229-944-4047",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Platinum Recovery LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phoebe Sumter Medical Center, Inc.
• Sheena Pickett
• Brianna Alexandria Pittman, CNM/WHNP
• Elizabeth Catherine Pittman
• Janice Pitts
• Kevia Pless
• Connie Leigh Poole, M.A.
• Lezlie Nicole Poole, B.A.,CPS, CPS-WH
• Monica Pope, MHP, DDP
• Leo Pouliot, FNP-C

• Methadone Clinic in Americus, GA
• Providers in Americus, GA by specialty
• Methadone Clinic in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.