SOUTH GEORGIA TREATMENT, INC


Address: 794 Mcdonough Rd, Jackson, GA 30233-1572
Phone: 7707759044

SOUTH GEORGIA TREATMENT, INC (NPI# 1093963944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093963944
Entity Type Organization
Organization Name SOUTH GEORGIA TREATMENT, INC
Practice Address 794 Mcdonough Rd
Jackson
GA 30233-1572
Practice Telephone 7707759044
Mailing Telephone 7707759044
Enumeration Date 2008-09-04
Last Update Date 2008-09-04
Authorized Official Name MS. NICOLE RAE MCCONNELL (ADMINISTRATOR)
Authorized Official Telephone 7707759044
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2800X Clinic/Center
Specialization: Methadone Clinic
NTP-001027 GA Ambulatory Health Care Facilities

Office Location

Street Address 794 MCDONOUGH RD
City JACKSON
State GA
Zip Code 30233-1572

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558330522 Renal Treatment Centers Mid Atlantic Inc Clinic/Center 794 Mcdonough Rd, Jackson, GA 30233-1572 2006-03-14
1740755719 Byron A Thompson Counselor 794 Mcdonough Rd, Jackson, GA 30233 2018-10-05
1750789947 Select Interventional Pain, PC Pain Medicine 794 Mcdonough Rd, Suite 108, Jackson, GA 30233-1572 2014-12-20
1306126529 Jaimi Marie Norrell Nurse Practitioner 794 Mcdonough Rd, 111, Jackson, GA 30233-1572 2011-08-18
1992943195 Dana B Bass Burch Physician Assistant 794 Mcdonough Rd, Suite 111, Jackson, GA 30233-1572 2009-01-26
1306019104 Bennie R White Jr Md Inc Clinic/Center 794 Mcdonough Rd, Suite 105, Jackson, GA 30233-1572 2008-04-12
1306025630 Derrell Levohn Leggett Anesthesiology 794 Mcdonough Rd, Suite 108, Jackson, GA 30233-1572 2007-11-02
1033329198 Jackson Dialysis Center Clinic/Center 794 Mcdonough Rd, Suite 108, Jackson, GA 30233-1572 2007-05-23
1376575225 Bennie R. White Jr. Family Medicine 794 Mcdonough Rd, Suite 105, Jackson, GA 30233-1572 2006-07-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366800914 Georgia Ophthalmologists LLC Durable Medical Equipment & Medical Supplies 860 W 3rd St, Jackson, GA 30233 2016-02-10
1306225057 Young Dreaden Nurse Practitioner 2978 Hwy 36w, Jackson, GA 30233 2015-05-28
1609255520 Neta J Roby Nurse Practitioner Hwy 36, Georgia Diagnostic Classification Prison, Jackson, GA 30233 2015-05-26
1033546098 Henrietta Lindsay Social Worker 463-b Ernest Biles Dr, Jackson, GA 30233 2013-10-04
1255776993 Gareth Gene Walker Technician 514 Covinton Street, Jackson, GA 30233 2013-05-08
1730489592 Mary L. Melton Licensed Practical Nurse 463 Ernest Biles Dr., Jackson, GA 30233 2010-10-27
1083864250 Chastity Moore Brown Dentist 1520 Lucky Street, Griffin, GA 30233 2008-09-24
1568661320 Joseph Fowlkes Internal Medicine 2978 Highway 36 W, Jackson, GA 30233 2007-07-12
1942386289 Butts County Board of Commissioners Ambulance 154 Sylvan Drive, Jackson, GA 30233 2006-10-30
1841238300 Jackson Pharmacy Services Pharmacy 22 Mulberry St., Jackson, GA 30233 2006-06-04
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Taxonomy Information

Taxonomy Code 261QM2800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Methadone Clinic

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629510540 Mississippi Comprehensive Treatment Centers, LLC Clinic/Center 1935 Lakeland Dr Ste 900, Jackson, MS 39216-5028 2016-11-09
1871752105 Raleigh Professional Associates Clinic/Center 1869 Highway 45 Byp, Suite 5, Jackson, TN 38305-2464 2008-06-02
1164878419 Ann Marshall Clinic/Center 2964 Terry Rd, Jackson, MS 39212-3055 2016-05-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669088795 Port City Medical Associates Inc Clinic/Center 931 S West St, Bainbridge, GA 39819-4543 2020-09-23
1912528696 Pittard Clinic LLC Clinic/Center 1654 Falls Rd, Toccoa, GA 30577 2020-05-04
1497388730 Brand New Start Treatment Center- Paulding LLC Clinic/Center 311 Wi Pkwy, Suite 500, Dallas, GA 30327 2020-02-14
1275165755 Walton County Treatment Center LLC Clinic/Center 3543 Highway 81 Ste 201, Loganville, GA 30052-4336 2020-02-12
1023640596 Georgia Treatment Center LLC Clinic/Center 514 W Maple St Ste 1206, Cumming, GA 30040-2536 2020-02-12
1417587502 Ringgold Treatment Center LLC Clinic/Center 8292 Highway 41, Ringgold, GA 30736-2354 2020-01-17
1952931164 Southeast Georgia Treatment Center Clinic/Center 816 Professional Center Dr, Eastman, GA 31023-6734 2020-01-16
1508405150 Woodstock Treatment Center LLC Clinic/Center 270 Heritage Walk, Woodstock, GA 30188-3875 2019-12-30
1588208128 Narquest Healthcare Services, LLC Clinic/Center 1766 Memorial Dr Ste 3, Waycross, GA 31501-1098 2019-11-06
1619511334 Douglasville Healthcare Services, LLC Clinic/Center 4158 Washington Rd Ste 4, Evans, GA 30809-4720 2019-11-06
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Competitor

Search similar providers

City JACKSON
Zip Code 30233

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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