Southeast Georgia Treatment Center

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

SOUTHEAST GEORGIA TREATMENT CENTER

Practice address

816 Professional Center Dr
Eastman, GA 31023-6734

Phone

(478) 374-0390

NPI assigned

Jan 16, 2020

Organization subpart

No

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

Authorized official

Name

Thomas M Knight

Title

Manger

Phone

(478) 231-4728

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1952931164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4306",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310234306",
            "telephone_number": "478-374-0390",
            "fax_number": "478-374-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 PROFESSIONAL CENTER DR",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236734",
            "telephone_number": "478-374-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST GEORGIA TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "478-231-4728"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clayton A Smith, OD
• Debra Bradfield Smith, D.M.D.
• Dustin Phillip Smith, D.C.
• H. Wayne Smith, D.D.S.
• Nicole Smith, NP
• Southeastern Hospitalist Physicians, LLP
• Brandi Southerland, RD, LD
• Southern Emergency Physicians, LLP
• Southern Family Healthcare of Eastman Inc
• Southern Home Care Services, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.

Verify at the official NPI Registry.