CROSSROADS TREATMENT CENTER AT SUGARLOAF, PC (NPI# 1518484476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518484476 |
Entity Type | Organization |
Organization Name | CROSSROADS TREATMENT CENTER AT SUGARLOAF, PC |
Practice Address |
2855 Lawrenceville Suwanee Rd Ste 330 Suwanee GA 30024-3572 |
Mailing Address |
55 Beattie Pl Ste 810 Greenville SC 29601-2191 |
Practice Telephone | 7709043955 |
Practice Fax Number | 7709043954 |
Mailing Telephone | 8645273145 |
Mailing Fax Number | 8649900653 |
Enumeration Date | 2017-08-23 |
Last Update Date | 2018-03-28 |
Authorized Official Name | DR. RUPERT MCCORMAC (PRESIDENT) |
Authorized Official Telephone | 8645273145 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251S00000X | Community/Behavioral Health | Agencies | ||
Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
Street Address |
2855 LAWRENCEVILLE SUWANEE RD STE 330 |
City | SUWANEE |
State | GA |
Zip Code | 30024-3572 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386241925 | Clint R Heger | Counselor | 2855 Lawrenceville Suwanee Rd Ste 330, Suwanee, GA 30024-3572 | 2020-10-07 |
1346872355 | Jamal Akeem Robinson | Counselor | 2855 Lawrenceville Suwanee Rd Ste 330, Suwanee, GA 30024-3572 | 2020-02-07 |
1255801023 | Ashley Hubbard | Counselor | 2855 Lawrenceville Suwanee Rd Ste 330, Suwanee, GA 30024-3572 | 2018-12-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356996565 | Stephanie Arkin | Student in an Organized Health Care Education/Training Program | 25 Old Peachtree Rd Nw, Suwanee, GA 30024 | 2019-08-05 |
1164989638 | Laquitta Craft | Registered Nurse | 2855 Lawrenceville Suwanee Road Suite 330/340, Suwanee, GA 30024 | 2019-02-21 |
1467937235 | Greater Atlanta Monitoring, LLC | Electrodiagnostic Medicine | 3651 Peachtree Ste E. #331, Suwanee, GA 30024 | 2018-09-27 |
1760963482 | Esther Natacha Lafontant | Public Health or Welfare | 3205 Maple Terrace Drive, Suwanee, GA 30024 | 2018-08-22 |
1740778463 | Immaculate Healthcare Solutions, LLC | Home Health | 970 Peachtree Industrial Blvd Ste 8, Suwanee, GA 30024 | 2018-04-27 |
1053819235 | Sean Wonsuk Jang | Chiropractor | 3370 Lawrenceville Suwanee Rd Ste 118, Suwanee, GA 30024 | 2018-01-23 |
1932628468 | Silver Health Services, Inc. | Case Manager/Care Coordinator | 2640 Westbury Court, Swanee, GA 30024 | 2017-09-15 |
1285159095 | April L. Rivers | Nurse Practitioner | 4411 Suwanee Dam Rd Ste 110, Suwanee, GA 30024 | 2017-08-14 |
1144743840 | Nabil Elkareh | Pharmacist | 5049 Tarry Glen Drive., Suwanee, GA 30024 | 2017-07-25 |
1720508294 | Robert A Finkel Dds PC | Clinic/Center | 1325 Satellite Blvd Nw Ste 1304, Suwanee, GA 30024 | 2017-06-26 |
Find all providers in zip 30024 |
Taxonomy Code | 261QM2800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Methadone Clinic |
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] |
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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 |
Find all providers with the same taxonomy |
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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.