Georgia Recovery Campus,LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

GEORGIA RECOVERY CAMPUS,LLC

Practice address

2370 Vineville Ave
Macon, GA 31204-3118

Phone

(478) 216-1110

NPI assigned

Sep 5, 2025

Organization subpart

No

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

Addresses

Other names 1

• Georgia recovery campus macon Doing business as

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.

• Georgia Recovery Campus,LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbus, GA
  • NPI 1346117959
  NPD tax ID
• Georgia Recovery Campus,LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Augusta, GA
  • NPI 1841146362
  NPD tax ID
• Georgia Recovery Campus,LLC

  • Substance Abuse Rehabilitation Facility
  • Reynolds, GA
  • NPI 1952093114
  NPD tax ID

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1922988286",
    "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": "2370 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312043118",
            "telephone_number": "478-216-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA RECOVERY CAMPUS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "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 macon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Georgia Pain Institute. LLC
• Georgia Primary Care LLC
• Georgia Primary Care Partners, LLC
• Georgia Psychiatric Center, LLC
• Georgia Pulmonary Institute, LLC
• Georgia Spine & Orthopedics LLC
• Georgia Treatment Services LLC
• Georgian Metropolis Emergency Physicians LLC
• Kaci Hinson Gerhardt, NP
• Tyyotalee Michelle Germain

• Substance Use Disorder Rehabilitation Clinic/Center in Macon, GA
• Providers in Macon, GA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.