OUTPATIENT DETOX CENTER OF GEORGIA LLC
NPI 1497431118
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Dacula, GA
About Outpatient Detox Center Of Georgia Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OUTPATIENT DETOX CENTER OF GEORGIA LLC (NPI 1497431118) is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Dacula, Georgia and active in the NPI registry since June 2023. The organization lists Zandria Hamilton, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Outpatient Detox Center Of Georgia Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Outpatient Detox Center Of Georgia LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Outpatient Detox Center Of Georgia LLC's NPI number?
The NPI number for Outpatient Detox Center Of Georgia LLC is 1497431118. It was assigned to this organization in the NPPES registry on June 27, 2023.
Where is Outpatient Detox Center Of Georgia LLC located?
Outpatient Detox Center Of Georgia LLC is located at 2340 Wood Creek Ct, Dacula, GA 30019. The listed phone number is (470) 642-6210.
What is Outpatient Detox Center Of Georgia LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.
Is Outpatient Detox Center Of Georgia LLC enrolled in Medicare?
Yes. Outpatient Detox Center Of Georgia LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Outpatient Detox Center Of Georgia LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Outpatient Detox Center Of Georgia LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Outpatient Detox Center Of Georgia LLC was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Outpatient Detox Center Of Georgia Llc · NPI 1497431118
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) organization in Dacula, Georgia. Organization record, active in the CMS NPPES registry since June 27, 2023.
## Identity
- **NPI:** 1497431118 (Entity type: Organization)
- **Enumerated:** June 27, 2023
- **Primary specialty:** Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) · taxonomy 261QR0401X
- **Organization subpart:** No
- **Authorized official:** Zandria Hamilton, PRESIDENT
## Practice location
- **Address:** 2340 WOOD CREEK CT, Dacula, GA 30019-3170
- **Phone:** (470) 642-6210
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1497431118) · Data from the CMS NPPES public registry.