GDRC - AUGUSTA
NPI 1386009520
Clinic/Center - Rehabilitation, Substance Use Disorder in Augusta, GA

Active since December 15, 2015CLIA 11D2082295 · Waiver
2812 HILLCREEK DR STE B, AUGUSTA, GA 30909(844) 242-0806 Get Directions Write a Review

NPPES record last updated: April 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2019, Jul 28, 2017, Dec 15, 2015 (3 updates tracked since 2015).

About Gdrc - Augusta NPPES

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

GDRC - AUGUSTA (NPI 1386009520) is a healthcare organization registered as a rehabilitation, substance use disorder in Augusta, Georgia and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through August 11, 2026 and lists Tyeast Reynolds, Director Of Rcm, as its authorized official.

NPPES Registry Identity

NPI1386009520
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameGEORGIA DETOX AND RECOVERY, LLC
Location Address2812 HILLCREEK DR STE BAugusta, GA 30909-5632
Mailing Address2300 Windy Ridge Parkway, Suite 210sAtlanta, GA 30339 · (470) 440-1647
Organization SubpartYesParent: Rivermend Healh, Llc
Authorized OfficialTyeast ReynoldsDirector Of Rcm · (678) 813-0428
Enumeration DateDecember 15, 2015
Last NPPES UpdateApril 11, 20193 updates tracked since enumeration
NPI 1386009520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License Licensed in GA · 121-253-D
2812 HILLCREEK DR STE B, Augusta, GA 30909

Other Names 1

Doing Business AsGdrc - Augusta

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 11D2082295

Georgia Detox And Recovery Centers At Bluff Plantation · Augusta, GA
Active · expires Aug 11, 2026
CLIA Number11D2082295
Laboratory TypeSud Inpatient
Certificate Effective DateAugust 12, 2024
Certificate Expiration DateAugust 11, 2026
Laboratory DirectorBrady Schroer
Laboratory Phone(844) 242-0806
Laboratory LocationGeorgia Detox And Recovery Centers At Bluff Plantation963 Bennock Mill Rd, Augusta, GA 30906
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 3

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

Counselor (Professional)
2812 HILLCREEK DR STE B
AUGUSTA, GA 30909
Clinic/Center (Hearing and Speech)
2812 HILLCREEK DR STE B
AUGUSTA, GA 30909
Speech-Language Pathologist
2812 HILLCREEK DR STE B
AUGUSTA, GA 30909

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 Georgia Detox And Recovery, LLC's NPI number?

The NPI number for Georgia Detox And Recovery, LLC is 1386009520. It was assigned to this organization in the NPPES registry on December 15, 2015. The provider is doing business as Gdrc - Augusta.

Where is Georgia Detox And Recovery, LLC located?

Georgia Detox And Recovery, LLC is located at 2812 Hillcreek Dr Ste B, Augusta, GA 30909. The listed phone number is (844) 242-0806.

What is Georgia Detox And Recovery, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Georgia Detox And Recovery, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2082295) is associated with this NPI, valid through August 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Georgia Detox And Recovery, LLC was last updated on April 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.