TOXICOLOGY ASSOCIATES OF NORTH GEORGIA GWINNETT, INC.
NPI 1033440805
Clinic/Center - Methadone in Norcross, GA

Active since January 19, 2010CLIA 11D1062430 · Waiver
1895 BEAVER RIDGE CIR, SUITE N, NORCROSS, GA 30071(770) 248-1616(770) 248-1618 Get Directions Write a Review

NPPES record last updated: January 19, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Toxicology Associates Of North Georgia Gwinnett, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TOXICOLOGY ASSOCIATES OF NORTH GEORGIA GWINNETT, INC. (NPI 1033440805) is a healthcare organization registered as a methadone in Norcross, Georgia and active in the NPI registry since January 2010. The organization holds a CLIA Waiver certificate valid through December 13, 2026 and lists Carolyn Keelaghan, Program Sponsor, as its authorized official.

NPPES Registry Identity

NPI1033440805
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameTOXICOLOGY ASSOCIATES OF NORTH GEORGIA GWINNETT, INC.
Location Address1895 BEAVER RIDGE CIR, SUITE NNorcross, GA 30071-3840
Mailing Address2221 Peachtree Rd Ne, #d-291Atlanta, GA 30309-1148 · (770) 248-1616 · Fax (770) 248-1618
Fax(770) 248-1618
Organization SubpartNo
Authorized OfficialCarolyn KeelaghanProgram Sponsor · (770) 248-1616
Enumeration DateJanuary 19, 2010
NPI 1033440805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
License Licensed in GA · NTO001031
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
1895 BEAVER RIDGE CIR, Norcross, GA 30071

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D1062430

Toxicology Associates Of North Georgia Gwinnett Incorporate · Lawrenceville, GA
Active · expires Dec 13, 2026
CLIA Number11D1062430
Laboratory TypePractitioner Other
Certificate Effective DateDecember 14, 2024
Certificate Expiration DateDecember 13, 2026
Laboratory DirectorDesmand J. Keelaghan
Laboratory Phone(770) 248-1616
Laboratory LocationToxicology Associates Of North Georgia Gwinnett Incorporate751 Collins Hill Road, Lawrenceville, GA 30046
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Toxicology Associates Of North Georgia Gwinnett, Inc.'s NPI number?

The NPI number for Toxicology Associates Of North Georgia Gwinnett, Inc. is 1033440805. It was assigned to this organization in the NPPES registry on January 19, 2010.

Where is Toxicology Associates Of North Georgia Gwinnett, Inc. located?

Toxicology Associates Of North Georgia Gwinnett, Inc. is located at 1895 Beaver Ridge Cir Suite N, Norcross, GA 30071. The listed phone number is (770) 248-1616.

What is Toxicology Associates Of North Georgia Gwinnett, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Toxicology Associates Of North Georgia Gwinnett, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1062430) is associated with this NPI, valid through December 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Toxicology Associates Of North Georgia Gwinnett, Inc. was last updated on January 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.