Organization Active NPI

Spectrum Athens, LLC

  • Community/Behavioral Health Agency
  • Athens, GA
National Provider Identifier
1972473676
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SPECTRUM ATHENS, LLC
Practice address
1 Huntington Rd Ste 204
Athens, GA 30606-7206
Phone
(706) 813-4265
NPI assigned
Nov 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Taylor Krcek Evans, LCSW, PHDNPI 1952769374
Title
Owner
Phone
(440) 655-1831

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1 Huntington Rd Ste 204
Athens, GA 30606-7206

Mailing address

1 Huntington Rd Ste 204
Athens, GA 30606-7206
Phone (706) 813-4265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251119002989 GA Part B Supplier - Clinic/Group Practice 9234620022 Receives reassigned benefits from 1 practitioner
Practice locations: Athens, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1972473676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON RD STE 204",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067206",
            "telephone_number": "706-813-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON RD STE 204",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067206",
            "telephone_number": "706-813-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM ATHENS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "KRCEK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-655-1831",
        "authorized_official_credential": "LCSW, PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.