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NORTH GEORGIA RECOVERY CENTER LLC
NPI 1558991679
Substance Abuse Rehabilitation Facility in Kennesaw, GA

Active since January 16, 2020CLIA 11D2181405 · Waiver
1690 ROBERTS BLVD NW STE 103, KENNESAW, GA 30144(770) 726-2985 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 3, 2024, Feb 16, 2021, Jan 16, 2020 (3 updates tracked since 2020).

About North Georgia Recovery Center Llc NPPES

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

NORTH GEORGIA RECOVERY CENTER LLC (NPI 1558991679) is a healthcare organization registered as a substance abuse rehabilitation facility in Kennesaw, Georgia and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through April 2, 2028 and lists Spencer Stein, Director, as its authorized official.

NPPES Registry Identity

NPI1558991679
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameNORTH GEORGIA RECOVERY CENTER LLC
Location Address1690 ROBERTS BLVD NW STE 103Kennesaw, GA 30144-7829
Mailing AddressPo Box 440304Kennesaw, GA 30160-9506
Phone(770) 726-2985
Organization SubpartNo
Authorized OfficialSpencer SteinDirector · (609) 517-9358
Enumeration DateJanuary 16, 2020
Last NPPES UpdateApril 3, 20243 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
✔ NPI 1558991679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
1690 ROBERTS BLVD NW STE 103, Kennesaw, GA 30144
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CLIA Laboratory Certificates CMS CLIA

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 11D2181405

North Georgia Recovery Center, LLC · Kennesaw, GA
Active · expires Apr 2, 2028
CLIA Number11D2181405
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateApril 3, 2026
Certificate Expiration DateApril 2, 2028
Laboratory DirectorSpencer H. Stein
Laboratory Phone(678) 905-4014
Laboratory LocationNorth Georgia Recovery Center, LLC1690 Roberts Boulevard, Suite 103, Kennesaw, GA 30144
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 North Georgia Recovery Center LLC's NPI number?

The NPI number for North Georgia Recovery Center LLC is 1558991679. It was assigned to this organization in the NPPES registry on January 16, 2020.

Where is North Georgia Recovery Center LLC located?

North Georgia Recovery Center LLC is located at 1690 Roberts Blvd NW Ste 103, Kennesaw, GA 30144. The listed phone number is (770) 726-2985.

What is North Georgia Recovery Center LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does North Georgia Recovery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2181405) is associated with this NPI, valid through April 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Georgia Recovery Center LLC was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.