Organization Active NPI

Addiction Treatment Center of Atlanta LLC

  • Addiction Medicine (Family Medicine) Physician
  • Acworth, GA
National Provider Identifier
1992400204
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
ADDICTION TREATMENT CENTER OF ATLANTA LLC
Practice address
6380 Bells Ferry Rd Ste 107
Acworth, GA 30102-5435
Phone
(404) 989-7384
Fax
(855) 604-0965
NPI assigned
Apr 4, 2023
Last updated
Apr 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

Name
Ajibola BabatundeNPI 1629573936
Title
MD
Phone
(678) 702-4488

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
Addiction Medicine (Family Medicine) Physician 207QA0401X Primary

Addresses

Primary practice location

6380 Bells Ferry Rd Ste 107
Acworth, GA 30102-5435

Mailing address

6380 Bells Ferry Rd Ste 107
Acworth, GA 30102-5435
Phone (404) 989-7384

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230427000765 GA Part B Supplier - Clinic/Group Practice 0042675092 Receives reassigned benefits from 1 practitioner
Practice locations: Acworth, GA; Alpharetta, GA; City Powder Springs, GA

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
11D2307608Addiction Treatment Center of Atlanta6380 Bells Ferry Road, Suite 107, Acworth, GA 30102RegistrationOct 20, 2026

National Provider Directory

National Provider Directory

Locations

4835 Sugarloaf Pkwy
Ste 300
Lawrenceville, GA 30044
Phone (407) 375-5940

5041 Dallas Hwy
Bldg 700
Powder Springs, GA 30127
Phone (678) 787-2776

5041 Dallas Hwy
Ste 702
Powder Springs, GA 30127

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1992400204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6380 BELLS FERRY RD STE 107",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301025435",
            "telephone_number": "404-989-7384",
            "fax_number": "855-604-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6380 BELLS FERRY RD STE 107",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301025435",
            "telephone_number": "404-989-7384",
            "fax_number": "855-604-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION TREATMENT CENTER OF ATLANTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "BABATUNDE",
        "authorized_official_first_name": "AJIBOLA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "678-702-4488"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.