Organization Active NPI

Narconon of Georgia

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Norcross, GA
National Provider Identifier
1972760130
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
050724 Issued in GA
Legal business name
NARCONON OF GEORGIA
Practice address
5688 Peachtree Pkwy
Suite B1
Norcross, GA 30092-2848
Phone
(770) 379-0208
Fax
(770) 395-9431
NPI assigned
May 16, 2008
Last updated
Feb 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Authorized official

Name
Jeannie Trahant
Title
Director
Phone
(877) 413-3073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 050724 GA Primary

Addresses

Primary practice location

5688 Peachtree Pkwy
Suite B1
Norcross, GA 30092-2848

Mailing address

5688 Peachtree Pkwy
Suite B1
Norcross, GA 30092-2848
Phone (770) 379-0208

National Provider Directory

National Provider Directory

Locations

5688 Peachtree Pkwy
#B1
Norcross, GA 30092
Phone (770) 379-0208

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1972760130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5688 PEACHTREE PKWY",
            "address_2": "SUITE B1",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922848",
            "telephone_number": "770-379-0208",
            "fax_number": "770-395-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5688 PEACHTREE PKWY",
            "address_2": "SUITE B1",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922848",
            "telephone_number": "770-379-0208",
            "fax_number": "770-395-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NARCONON OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "TRAHANT",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "877-413-3073"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "GA",
            "license": "050724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.