Organization Active NPI

Carter Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Fayetteville, GA
National Provider Identifier
1962370692
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CARTER TREATMENT CENTER
Practice address
205 Jeff Davis PL Ste a
Fayetteville, GA 30214-1459
Phone
(404) 205-8661
NPI assigned
Oct 24, 2025
Organization subpart
Yes
Parent organization
CARTER TREATMENT CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Megan Damon, LMSW, CAADC
Title
Compliance and Administrative Spec
Phone
(678) 771-8468

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

205 Jeff Davis PL Ste a
Fayetteville, GA 30214-1459

Mailing address

205 Jeff Davis PL Ste a
Fayetteville, GA 30214-1459

Other names 1

  • Imagine Wellness Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2329550Carter Treatment Center, Ince, the205 Jeff Davis Place, Fayetteville, GA 30214Certificate of waiverAug 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Carter Treatment Center4 organizations share this tax ID, including this one
Part of
Carter Treatment Center

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

205 Jeff Davis Pl
Ste A
Fayetteville, GA 30214
Phone (404) 205-8661

NPI Registry JSON

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

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1962370692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 JEFF DAVIS PL STE A",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 JEFF DAVIS PL STE A",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141459",
            "telephone_number": "404-205-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTER TREATMENT CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARTER TREATMENT CENTER",
        "enumeration_date": "2025-10-24",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "DAMON",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "COMPLIANCE AND ADMINISTRATIVE SPEC",
        "authorized_official_telephone_number": "678-771-8468",
        "authorized_official_credential": "LMSW, CAADC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imagine Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.