EDGE TREATMENT LLC
NPI 1265216683
Substance Abuse Rehabilitation Facility in Roswell, GA

Active since August 24, 2023CLIA 11D2281515 · Waiver
11205 ALPHARETTA HWY STE H4, ROSWELL, GA 30076(706) 342-6024 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edge Treatment Llc NPPES

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

EDGE TREATMENT LLC (NPI 1265216683) is a healthcare organization registered as a substance abuse rehabilitation facility in Roswell, Georgia and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through May 8, 2027 and lists Joshua Jarvis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1265216683
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameEDGE TREATMENT LLC
Location Address11205 ALPHARETTA HWY STE H4Roswell, GA 30076-5649
Mailing Address11205 Alpharetta Hwy Ste H4Roswell, GA 30076-5649
Organization SubpartNo
Authorized OfficialJoshua JarvisCeo · (706) 342-6024
Enumeration DateAugust 24, 2023
Last NPPES UpdateOctober 21, 2024
NPPES CertifiedOctober 4, 2024
NPI 1265216683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
11205 ALPHARETTA HWY STE H4, Roswell, GA 30076

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 11D2281515

Edge Treatment LLC · Roswell, GA
Active · expires May 8, 2027
CLIA Number11D2281515
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateMay 9, 2025
Certificate Expiration DateMay 8, 2027
Laboratory DirectorJohn W. Spicer
Laboratory Phone(706) 342-6024
Laboratory LocationEdge Treatment LLC11204 Alpharetta Highway H4, Roswell, GA 30076
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Family Medicine
11205 ALPHARETTA HWY STE H4
ROSWELL, GA 30076

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 Edge Treatment LLC's NPI number?

The NPI number for Edge Treatment LLC is 1265216683. It was assigned to this organization in the NPPES registry on August 24, 2023.

Where is Edge Treatment LLC located?

Edge Treatment LLC is located at 11205 Alpharetta Hwy Ste H4, Roswell, GA 30076. The listed phone number is (706) 342-6024.

What is Edge Treatment LLC's specialty?

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

Does Edge Treatment LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2281515) is associated with this NPI, valid through May 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Edge Treatment LLC was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.