GEORGIA CTC, LLC
NPI 1407582042
Clinic/Center - Methadone in Dallas, GA

Q: What is Georgia Ctc, LLC's NPI number?

The NPI number for Georgia Ctc, LLC is 1407582042. It was assigned to this organization in the NPPES registry on July 26, 2022. The provider is doing business as Dallas Comprehensive Treatment Center.

Q: What is Georgia Ctc, LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Georgia Ctc, LLC was last updated on April 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 26, 2022CLIA Certified · 4 labs

311 WHITE INGRAM PKWY, DALLAS, GA 30132(770) 615-0951(678) 363-7787 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 8, 2026, Sep 2, 2025, Sep 18, 2024 and 5 more (8 updates tracked since 2022).

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About Georgia Ctc, Llc NPPES

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

GEORGIA CTC, LLC (NPI 1407582042), doing business as Dallas Comprehensive Treatment Center, is a healthcare organization registered as a methadone in Dallas, Georgia and active in the NPI registry since July 2022. The organization holds 4 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Brian Phillip Farley, Vp & Secretary, as its authorized official.

NPPES Registry Identity

NPI1407582042

Entity TypeOrganization

Primary Taxonomy261QM2800X

Legal Business NameGEORGIA CTC, LLC

Location Address311 WHITE INGRAM PKWYDallas, GA 30132-0969

Mailing AddressPo Box 682669Franklin, TN 37068-2669 · (615) 861-6000

Phone(770) 615-0951

Fax(678) 363-7787

Organization SubpartYesParent: Acadia Healthcare

Authorized OfficialBrian Phillip FarleyVp & Secretary · (615) 716-9335

Enumeration DateJuly 26, 2022

Last NPPES UpdateApril 8, 20268 updates tracked since enumeration

NPPES CertifiedApril 8, 2026

✔ NPI 1407582042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities

Taxonomy Code261QM2800X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X

311 WHITE INGRAM PKWY, Dallas, GA 30132

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Other Names 1

Doing Business AsDallas Comprehensive Treatment Center

Secondary Practice Locations 3

Location 13543 Highway 81 Ste 201Loganville, GA 30052-4336 · Phone (770) 618-9978 · Fax (770) 674-0250

Location 2514 W Maple St Ste 1203Cumming, GA 30040-2536 · Phone (470) 835-4871 · Fax (770) 844-7836

Location 3270 Heritage WalkWoodstock, GA 30188-3875 · Phone (678) 494-5700 · Fax (678) 494-5703

CLIA Laboratory Certificates CMS CLIA 4

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 11D2268576

Georgia Ctc, LLC Dba Loganville Comprehensive Treatment Center · Loganville, GA

Active · expires Sep 13, 2026

CLIA Number11D2268576

Laboratory TypeComp. Outpatient Rehab Facility

Certificate Effective DateSeptember 14, 2024

Certificate Expiration DateSeptember 13, 2026

Laboratory DirectorAjobola Babatunde

Laboratory Phone(760) 459-1418

Laboratory LocationGeorgia Ctc, LLC Dba Loganville Comprehensive Treatment Center3543 Highway 81 Suite 201, Loganville, GA 30052

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2268342

Georgia Ctc, LLC Dba Cumming Comprehensive Treatment Ctr · Cumming, GA

Active · expires Sep 8, 2026

CLIA Number11D2268342

Laboratory TypeComp. Outpatient Rehab Facility

Certificate Effective DateSeptember 9, 2024

Certificate Expiration DateSeptember 8, 2026

Laboratory DirectorAjibola Babatunde

Laboratory Phone(760) 459-1418

Laboratory LocationGeorgia Ctc, LLC Dba Cumming Comprehensive Treatment Ctr514 W Maple Street Suite 1203, Cumming, GA 30040

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2268344

Georgia Ctc, LLC Dba Dallas Comprehensive Treatment Ctr · Dallas, GA

Active · expires Sep 8, 2026

CLIA Number11D2268344

Laboratory TypeComp. Outpatient Rehab Facility

Certificate Effective DateSeptember 9, 2024

Certificate Expiration DateSeptember 8, 2026

Laboratory DirectorNalini Singh

Laboratory Phone(760) 459-1418

Laboratory LocationGeorgia Ctc, LLC Dba Dallas Comprehensive Treatment Ctr311 White Ingram Parkway, Dallas, GA 30132

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2268357

Georgia Ctc LLC Dba Woodstock Comprehensive Treatment Ctr · Woodstock, GA

Active · expires Sep 8, 2026

CLIA Number11D2268357

Laboratory TypeComp. Outpatient Rehab Facility

Certificate Effective DateSeptember 9, 2024

Certificate Expiration DateSeptember 8, 2026

Laboratory DirectorNalini Singh

Laboratory Phone(760) 459-1418

Laboratory LocationGeorgia Ctc LLC Dba Woodstock Comprehensive Treatment Ctr270 Heritage Walk, Woodstock, GA 30188

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067

Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.

945 services48 patients

Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure G2078

This service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.

733 services37 patients

Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) G2074

Medication Assisted Treatment is a comprehensive program for managing substance use. It includes counseling (both individual and group), along with regular toxicology testing if required. This service is provided by a Medicare-enrolled opioid treatment program.

131 services20 patients

Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for G2077

Periodic assessment is a routine check-up by trained professionals to determine the best mix of services and treatments for your health needs. This is typically provided by a Medicare-enrolled opioid treatment program. It's listed separately in addition to your main treatment code. This ensures you receive the most suitable care for your situation.

30 services19 patients

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Other Providers at the Same Location NPPES 7

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

JEANINE CARSON

Counselor (Addiction (Substance Use Disorder))