MEDMARK TREATMENT CENTERS OF GEORGIA, INC.
NPI 1477041143
Clinic/Center - Rehabilitation, Substance Use Disorder in Chatsworth, GA
NPI Status: Active since April 27, 2018
Contact Information
1289 GI MADDOX PKWY
CHATSWORTH, GA
ZIP 30705
Phone: (706) 971-3366
Fax: (214) 550-2635
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
- CLIA Number: 11D2147195
- CLIA Cert. Type: Other - NARCOTIC TREATMENT PROG
- CLIA Exp. Date: 04-15-2026
About MEDMARK TREATMENT CENTERS OF GEORGIA, INC.
This page provides the complete NPI Profile along with additional information for Medmark Treatment Centers Of Georgia, Inc., a provider established in Chatsworth, Georgia operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1477041143 assigned on April 2018. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1477041143
- Provider Legal Name
- MEDMARK TREATMENT CENTERS OF GEORGIA, INC.
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1289 GI MADDOX PKWY CHATSWORTH, GA 30705
- Location Phone
- (706) 971-3366
- Location Fax
- (214) 550-2635
- Mailing Address
- 1720 LAKEPOINTE DR STE 117 LEWISVILLE, TX 75057
- Mailing Phone
- (214) 379-3300
- Mailing Fax
- (214) 550-2635
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-27-2018
- Last Update Date
- 09-12-2025
- Code Navigator
Location Map
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 Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
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 | 261QM2800X | 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
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)
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 690 times for 25 patientsMedication 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.
This service was performed 28 times for 11 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 343 times for 16 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
- 11D2147195
- Facility Type
- Other - NARCOTIC TREATMENT PROG
- Certificate Effective Date
- April 16, 2024
- Certificate Expiration Date
- April 15, 2026
- Laboratory Director
- CONTESSA METCALFE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Medmark Treatment Centers Of Georgia, Inc. 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 1477041143, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
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 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
CHATSWORTH, GA 30705
CHATSWORTH, GA 30705
CHATSWORTH, GA 30705
CHATSWORTH, GA 30705
CHATSWORTH, GA 30705
CHATSWORTH, GA 30705
CHATSWORTH, GA 30705
CHATSWORTH, GA 30705
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477041143, enumerated as an "organization" on April 27, 2018.
The provider is located at 1289 GI MADDOX PKWY CHATSWORTH, GA 30705 and the phone number is (706) 971-3366.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
