GOOD LANDING RECOVERY ATLANTA
NPI 1083379101
Substance Abuse Rehabilitation Facility in Dacula, GA

Active since November 03, 2021CLIA Certified · 2 labs
2535 2ND AVENUE, DACULA, GA 30019(770) 450-6120 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 19, 2022, Nov 3, 2021 (2 updates tracked since 2021).

About Good Landing Recovery Atlanta NPPES

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

GOOD LANDING RECOVERY ATLANTA (NPI 1083379101) is a healthcare organization registered as a substance abuse rehabilitation facility in Dacula, Georgia and active in the NPI registry since November 2021. The organization holds 2 active CLIA laboratory certificates and lists Charlie Campbell, Coo, as its authorized official.

NPPES Registry Identity

NPI1083379101
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameGOOD LANDING RECOVERY ATLANTA
Location Address2535 2ND AVENUEDacula, GA 30019
Mailing Address256 Mcmillan RdDacula, GA 30019-2337 · (904) 302-3202
Organization SubpartNo
Authorized OfficialCharlie CampbellCoo · (904) 302-3202
Enumeration DateNovember 3, 2021
Last NPPES UpdateAugust 19, 20222 updates tracked since enumeration
NPPES CertifiedAugust 19, 2022
NPI 1083379101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
2535 2ND AVENUE, Dacula, GA 30019

CLIA Laboratory Certificates CMS CLIA 2

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 11D2250717

Good Landing Recovery Atlanta, Inc · Dacula, GA
Active · expires Jan 27, 2028
CLIA Number11D2250717
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateJanuary 28, 2026
Certificate Expiration DateJanuary 27, 2028
Laboratory DirectorRobert Lewis III
Laboratory Phone(770) 450-6120
Laboratory LocationGood Landing Recovery Atlanta, Inc2539 Second Avenue, Dacula, GA 30019
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2261873

Good Landing Recovery Detox And Residential, LLC · Gainesville, GA
Active · expires Jun 6, 2028
CLIA Number11D2261873
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJune 7, 2026
Certificate Expiration DateJune 6, 2028
Laboratory DirectorRobert Lewis III
Laboratory Phone(770) 450-6120
Laboratory LocationGood Landing Recovery Detox And Residential, LLC4141 Old Cornelia Highway, Gainesville, GA 30507
CLIA data matches this NPI record on: 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 Good Landing Recovery Atlanta's NPI number?

The NPI number for Good Landing Recovery Atlanta is 1083379101. It was assigned to this organization in the NPPES registry on November 3, 2021.

Where is Good Landing Recovery Atlanta located?

Good Landing Recovery Atlanta is located at 2535 2nd Avenue, Dacula, GA 30019. The listed phone number is (770) 450-6120.

What is Good Landing Recovery Atlanta's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Good Landing Recovery Atlanta hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Good Landing Recovery Atlanta was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.