GEORGIA CTC, LLC
NPI 1407582042
Clinic/Center - Methadone in Dallas, GA
NPI Status: Active since July 26, 2022
Contact Information
311 WHITE INGRAM PKWY
DALLAS, GA
ZIP 30132
Phone: (770) 615-0951
Fax: (678) 363-7787
- Organization
- Clinic/Center
- Methadone
- CLIA Number: 11D2268357
- CLIA Cert. Type: Comp. Outpatient Rehab Facility
- CLIA Exp. Date: 09-08-2026
About GEORGIA CTC, LLC
This page provides the complete NPI Profile along with additional information for Georgia Ctc, Llc, a provider established in Dallas, Georgia operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1407582042 assigned on July 2022. The practitioner's primary taxonomy code is 261QM2800X. The provider is registered as an organization and their NPI record was last updated April 2026. The provider's
- NPI
- 1407582042
- Provider Legal Name
- GEORGIA CTC, LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 311 WHITE INGRAM PKWY DALLAS, GA 30132
- Location Phone
- (770) 615-0951
- Location Fax
- (678) 363-7787
- Mailing Address
- PO BOX 682669 FRANKLIN, TN 37068
- Mailing Phone
- (615) 861-6000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-26-2022
- Last Update Date
- 04-08-2026
- Code Navigator
Location Map
Secondary Locations
- 270 Heritage Walk
Woodstock, GA 30188
(678) 494-5700 - 3543 Highway 81 Ste 201
Loganville, GA 30052
(770) 618-9978 - 514 W Maple St Ste 1203
Cumming, GA 30040
(470) 835-4871
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
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251S00000X | Agencies | Community/Behavioral Health | |
| 2 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
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
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
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
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.
This service was performed 1,144 times for 40 patientsPeriodic 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.
This service was performed 34 times for 18 patientsThis 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.
This service was performed 508 times for 32 patientsCLIA 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
- 11D2268357
- Facility Type
- Comp. Outpatient Rehab Facility
- Certificate Effective Date
- September 09, 2024
- Certificate Expiration Date
- September 08, 2026
- Laboratory Director
- NALINI SINGH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Georgia Ctc, Llc 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 1407582042, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407582042, enumerated as an "organization" on July 26, 2022.
The provider is located at 311 WHITE INGRAM PKWY DALLAS, GA 30132 and the phone number is (770) 615-0951.
Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.
