PEACHTREE RECOVERY CENTERS, LLC
NPI 1528518420
Clinic/Center - Rehabilitation, Substance Use Disorder in Atlanta, GA

NPI Status: Active since October 04, 2016

Contact Information

3975 ROSWELL RD NE
SUITE 102
ATLANTA, GA
ZIP 30342
Phone: (404) 237-5519
Fax: (404) 262-2557

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 11D0679601
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-04-2027

About PEACHTREE RECOVERY CENTERS, LLC

This page provides the complete NPI Profile along with additional information for Peachtree Recovery Centers, Llc, a provider established in Atlanta, Georgia operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1528518420 assigned on October 2016. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Bud Hearn (Owner)

NPI
1528518420
Provider Name
PEACHTREE RECOVERY CENTERS, LLC
Entity Type
Organization
Location Address
3975 ROSWELL RD NE SUITE 102 ATLANTA, GA 30342
Location Phone
(404) 237-5519
Location Fax
(404) 262-2557
Mailing Address
70 GRUBER LN SUITE 107 ST SIMONS ISLAND, GA 31522
Mailing Phone
(404) 237-5519
Mailing Fax
(404) 262-2557
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-04-2016
Last Update Date
10-04-2016
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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

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BUD HEARN

Authorized Official Title
OWNER
Authorized Official Phone
(404) 606-0030

CLIA 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
11D0679601
Facility Type
Physician Office
Certificate Effective Date
May 05, 2025
Certificate Expiration Date
May 04, 2027
Laboratory Director
H KIT HOWARD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Peachtree Recovery Centers, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1528518420, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
2
Doubled → 4
Pos 4
8
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
Check
0
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 2 → 4 5 → 10 → 1 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 4 + 8 + 1 + 0 + 1 + 1 + 6 + 4 + 4 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1528518420.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
3975 ROSWELL RD NE
ATLANTA, GA 30342
Psychiatry & Neurology (Psychiatry)
3975 ROSWELL RD NE
ATLANTA, GA 30342
Counselor (Mental Health)
3975 ROSWELL RD NE
ATLANTA, GA 30342

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528518420, enumerated as an "organization" on October 04, 2016.

The provider is located at 3975 ROSWELL RD NE SUITE 102 ATLANTA, GA 30342 and the phone number is (404) 237-5519.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.