HEALTHQWEST FRONTIERS LLC - NPI 1043631476 - Clinic/Center in Macon, GA

Q: What is Healthqwest Frontiers LLC's NPI number?

The NPI number for Healthqwest Frontiers LLC is 1043631476. It was assigned to this organization in the NPPES registry on January 3, 2014.

Q: What is Healthqwest Frontiers LLC's specialty?

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

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About Healthqwest Frontiers Llc NPPES

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

HEALTHQWEST FRONTIERS LLC (NPI 1043631476) is a healthcare organization registered as a methadone in Macon, Georgia and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through September 12, 2027 and lists Robyn Tanis, Executive Director Of Contract Mgmt, as its authorized official.

NPPES Registry Identity

NPI1043631476

Entity TypeOrganization

Primary Taxonomy261QM2800X

Legal Business NameHEALTHQWEST FRONTIERS LLC

Location Address890 NORTHWOODS PLAZAMacon, GA 31204-1441

Mailing Address1317 Route 73 Ste 200Mount Laurel, NJ 08054-2202 · (856) 439-6111

Phone(478) 330-7164

Organization SubpartNo

Authorized OfficialRobyn TanisExecutive Director Of Contract Mgmt · (856) 533-8762

Enumeration DateJanuary 3, 2014

Last NPPES UpdateMarch 4, 20244 updates tracked since enumeration

NPPES CertifiedMarch 1, 2024

✔ NPI 1043631476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities

Taxonomy Code261QM2800X

License✔ Licensed in GA · NTP001074

Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Also ListedClinic/Center · Recovery CareTaxonomy 261QR0800X

890 NORTHWOODS PLAZA, Macon, GA 31204

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 11D2065710

Healthqwest Frontiers, LLC · Macon, GA

Active · expires Sep 12, 2027

CLIA Number11D2065710

Laboratory TypeOpioid Treatment Program

Certificate Effective DateSeptember 13, 2025

Certificate Expiration DateSeptember 12, 2027

Laboratory DirectorPatrice Marshall

Laboratory Phone(478) 330-7164

Laboratory LocationHealthqwest Frontiers, LLC890 Burrus Road, Macon, GA 31204

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067

Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.

488 services19 patients

Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure G2078

This service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.

245 services11 patients

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY MICKEY

Counselor (Addiction (Substance Use Disorder))