Active NPI
Summit BHC Monroe, LLC
- Substance Abuse Rehabilitation Facility
- Gainesville, GA
National Provider Identifier
1912371196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- SUMMIT BHC MONROE, LLC
- Doing business as
- Twin Lakes Recovery Center
- Practice address
- 204 W Academy St SW
Gainesville, GA 30501-3557 - Phone
- (770) 540-1112
- Fax
- (888) 418-7712
- NPI assigned
- Nov 25, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Stephen Hinkle
- Title
- General Counsel & Secretary
- Phone
- (615) 637-7218
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
204 W Academy St SW
Gainesville, GA 30501-3557
Mailing address
204 W Academy St SW
Gainesville, GA 30501-3557
Phone (770) 540-1112
Other names 1
- Twin Lakes Recovery Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2108502 | Summit BHC Monroe, LLC Dba Twin Lakes Recovery Ctr | Certificate of waiver | Feb 4, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Summit BHC Monroe LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Athens, GA
- NPI 1104344068
-
- Substance Abuse Rehabilitation Facility
- Monroe, GA
- NPI 1740654920
Locations
204 W Academy St SW
Gainesville, GA 30501
Phone (770) 540-1112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781827200000",
"number": "1912371196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 W ACADEMY ST SW",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013557",
"telephone_number": "770-540-1112",
"fax_number": "888-418-7712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 W ACADEMY ST SW",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013557",
"telephone_number": "770-540-1112",
"fax_number": "888-418-7712"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT BHC MONROE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-25",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A",
"authorized_official_last_name": "HINKLE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "STEPHEN",
"authorized_official_title_or_position": "GENERAL COUNSEL & SECRETARY",
"authorized_official_telephone_number": "615-637-7218"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Twin Lakes Recovery Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Twin Lakes Recovery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.