SYLVANUS MEMORIAL TREATMENT CENTERS INC.
NPI 1093041121
Clinic/Center - Methadone in Commerce, GA

NPI Status: Active since October 24, 2009

Contact Information

734 HOSPITAL ROAD
COMMERCE, GA
ZIP 30529
Phone: (706) 335-5180
Fax: (706) 335-5217

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  • Organization
  • Clinic/Center
  • Methadone
  • Accepts Insurance
  • CLIA Number: 11D2026305
  • CLIA Cert. Type: Other - OPIOID TREATMENT PROGRAM
  • CLIA Exp. Date: 06-27-2027

About SYLVANUS MEMORIAL TREATMENT CENTERS INC.

This page provides the complete NPI Profile along with additional information for Sylvanus Memorial Treatment Centers Inc., a provider established in Commerce, Georgia operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1093041121 assigned on October 2009. The practitioner's primary taxonomy code is 261QM2800X with license number NTP001028 (GA). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Mr. William Michael Gordon Cac Ii (Ceo)

NPI
1093041121
Provider Legal Name
SYLVANUS MEMORIAL TREATMENT CENTERS INC.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
734 HOSPITAL ROAD COMMERCE, GA 30529
Location Phone
(706) 335-5180
Location Fax
(706) 335-5217
Mailing Address
734 HOSPITAL ROAD COMMERCE, GA 30529
Mailing Phone
(706) 335-5180
Mailing Fax
(706) 335-5217
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-24-2009
Last Update Date
04-16-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Methadone

Taxonomy Code
261QM2800X
Type
Ambulatory Health Care Facilities
License No.
NTP001028
License State
GA
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • SoloCare Bronze EPO $8500 DED HSA 10004 - EPO
  • SoloCare Exp Bronze EPO $9500 DED 10015 - EPO
  • SoloCare Gold EPO $1500 DED 10010 - EPO
  • SoloCare Silver EPO $5000 DED 10014 - EPO
  • SoloCare Silver EPO $6500 DED 10013 - EPO
  • SoloCare Standard Exp Bronze EPO $7500 DED 10008 - EPO
  • SoloCare Standard Gold EPO $2000 DED 10006 - EPO
  • SoloCare Standard Platinum EPO $0 DED 10005 - EPO
  • SoloCare Standard Silver EPO $6000 DED 10007 - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. WILLIAM MICHAEL GORDON CAC II

Authorized Official Title
CEO
Authorized Official Phone
(706) 335-5180

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2026305
Facility Type
Other - OPIOID TREATMENT PROGRAM
Certificate Effective Date
June 28, 2025
Certificate Expiration Date
June 27, 2027
Laboratory Director
DR. DENNIS DOHERTY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sylvanus Memorial Treatment Centers Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1093041121, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
1
Doubled → 2
Pos 8
1
Unchanged
Pos 9
2
Doubled → 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 1 → 2 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 8 + 3 + 0 + 4 + 2 + 1 + 4 + 24 = 49

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1093041121.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093041121, enumerated as an "organization" on October 24, 2009.

The provider is located at 734 HOSPITAL ROAD COMMERCE, GA 30529 and the phone number is (706) 335-5180.

Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.

The provider might be accepting Accepts: Alliant Health Plans, Inc.. Please consult your insurance carrier or call the provider to verify.