Active NPI
Carter Treatment Center
- Substance Abuse Rehabilitation Facility
- Fayetteville, GA
National Provider Identifier
1962370692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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 CENTER
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|
| 11D2329550 | Carter Treatment Center, Ince, the | Certificate of waiver | Aug 29, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Carter Treatment Center
- 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.
-
- Substance Abuse Rehabilitation Facility
- Alpharetta, GA
- NPI 1013390590
-
- Substance Abuse Rehabilitation Facility
- Jefferson, GA
- NPI 1518725308
-
- Substance Abuse Rehabilitation Facility
- Peachtree Corners, GA
- NPI 1588422364
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.