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SOUTH GEORGIA TREATMENT, INC
NPI 1093963944
Clinic/Center - Methadone in Jackson, GA

Active since September 04, 2008
794 MCDONOUGH RD, JACKSON, GA 30233(770) 775-9044 Get Directions Write a Review

NPPES record last updated: September 4, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Georgia Treatment, Inc NPPES

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

SOUTH GEORGIA TREATMENT, INC (NPI 1093963944) is a healthcare organization registered as a methadone in Jackson, Georgia and active in the NPI registry since September 2008. The organization lists Nicole Rae Mcconnell, Administrator, as its authorized official.

NPPES Registry Identity

NPI1093963944
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameSOUTH GEORGIA TREATMENT, INC
Location Address794 MCDONOUGH RDJackson, GA 30233-1572
Mailing Address794 Mcdonough RdJackson, GA 30233-1572 · (770) 775-9044
Phone(770) 775-9044
Organization SubpartNo
Authorized OfficialNicole Rae McconnellAdministrator · (770) 775-9044
Enumeration DateSeptember 4, 2008
✔ NPI 1093963944 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 · NTP-001027
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
794 MCDONOUGH RD, Jackson, GA 30233
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Other Providers at the Same Location NPPES 9

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

JACKSON DIALYSIS CENTER
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
794 MCDONOUGH RD, SUITE 108
JACKSON, GA 30233
Butts County (770) 504-9525
BENNIE R WHITE JR MD INC
Clinic/Center (Primary Care)
794 MCDONOUGH RD, SUITE 105
JACKSON, GA 30233
Butts County (770) 775-2341
DR. DERRELL LEVOHN LEGGETT M.D.
Pain Medicine (Interventional Pain Medicine)
794 MCDONOUGH RD, SUITE 108
JACKSON, GA 30233
Butts County (470) 251-5300
MRS. JAIMI MARIE NORRELL NP-C
Nurse Practitioner (Family)
794 MCDONOUGH RD, 111
JACKSON, GA 30233
Butts County (470) 251-5300
BENNIE R. WHITE JR. MD
Family Medicine
794 MCDONOUGH RD, SUITE 105
JACKSON, GA 30233
Butts County (770) 775-2341
RENAL TREATMENT CENTERS MID ATLANTIC INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
794 MCDONOUGH RD
JACKSON, GA 30233
Butts County (770) 504-0365
JENNIFER MONSRUD NP
Nurse Practitioner (Family)
794 MCDONOUGH RD
JACKSON, GA 30233
Butts County (470) 251-5300
SELECT INTERVENTIONAL PAIN, PC
Pain Medicine (Interventional Pain Medicine)
794 MCDONOUGH RD, SUITE 108
JACKSON, GA 30233
Butts County (470) 251-5300

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 South Georgia Treatment, Inc's NPI number?

The NPI number for South Georgia Treatment, Inc is 1093963944. It was assigned to this organization in the NPPES registry on September 4, 2008.

Where is South Georgia Treatment, Inc located?

South Georgia Treatment, Inc is located at 794 Mcdonough Rd, Jackson, GA 30233. The listed phone number is (770) 775-9044.

What is South Georgia Treatment, Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for South Georgia Treatment, Inc was last updated on September 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.