NPIMap

Organization Active NPI

Recovery Outfitters, Inc.

  • Substance Abuse Rehabilitation Facility
  • Cumming, GA
National Provider Identifier
1922321074
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
067-379-D Issued in GA
Legal business name
RECOVERY OUTFITTERS, INC.
Practice address
1300 Peachtree Pkwy
Cumming, GA 30041-9503
Phone
(678) 947-6550
Fax
(678) 947-6594
NPI assigned
Mar 3, 2010
Last updated
Jan 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Kimberly Castro Seymour, MSCMNPI 1487892006
Title
Executive Director
Phone
(678) 947-6550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 067-379-D GA Primary

Addresses

Primary practice location

1300 Peachtree Pkwy
Cumming, GA 30041-9503

Mailing address

564 Peachtree Pkwy
Suite 107
Cumming, GA 30041-9327
Phone (678) 947-6550

National Provider Directory

National Provider Directory

Locations

564 Peachtree Pkwy
Ste 107
Cumming, GA 30041

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1922321074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 PEACHTREE PKWY",
            "address_2": "SUITE 107",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300419327",
            "telephone_number": "678-947-6550",
            "fax_number": "888-877-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 PEACHTREE PKWY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300419503",
            "telephone_number": "678-947-6550",
            "fax_number": "678-947-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY OUTFITTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "SEYMOUR",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "CASTRO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "678-947-6550",
        "authorized_official_credential": "MSCM"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "GA",
            "license": "067-379-D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

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