PRIVATE CLINIC NORTH
NPI 1669572335
Clinic/Center - Methadone in Rossville, GA

Active since September 23, 2006CLIA 11D1042615 · Waiver
822 CHICKAMAUGA AVE, ROSSVILLE, GA 30741(706) 861-6458(706) 866-6277 Get Directions Write a Review

NPPES record last updated: March 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2020, Mar 7, 2020 (2 updates tracked since 2020).

About Private Clinic North NPPES

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

PRIVATE CLINIC NORTH (NPI 1669572335) is a healthcare organization registered as a methadone in Rossville, Georgia and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through July 4, 2027 and lists Douglas Stephen Davis, Administrator, as its authorized official.

NPPES Registry Identity

NPI1669572335
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameNEPTUNE CLINICAL GROUP, INC.
Location Address822 CHICKAMAUGA AVERossville, GA 30741-1407
Mailing Address822 Chickamauga AveRossville, GA 30741-1407 · (706) 861-6458 · Fax (706) 866-6277
Fax(706) 866-6277
Organization SubpartNo
Authorized OfficialDouglas Stephen DavisAdministrator · (706) 861-6458
Enumeration DateSeptember 23, 2006
Last NPPES UpdateMarch 12, 20202 updates tracked since enumeration
NPPES CertifiedMarch 12, 2020
NPI 1669572335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
822 CHICKAMAUGA AVE, Rossville, GA 30741

Other Names 1

Doing Business AsPrivate Clinic North

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 11D1042615

Neptune Clinical Group Incorporate · Rossville, GA
Active · expires Jul 4, 2027
CLIA Number11D1042615
Laboratory TypePractitioner Other
Certificate Effective DateJuly 5, 2025
Certificate Expiration DateJuly 4, 2027
Laboratory DirectorDouglas Stephen Davis
Laboratory Phone(706) 861-6458
Laboratory LocationNeptune Clinical Group Incorporate822 Chickamauga Avenue, Rossville, GA 30741
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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 G2067
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.
961 services33 patients
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 G2078
This 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.
492 services28 patients
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 G2077
Periodic 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.
25 services25 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
822 CHICKAMAUGA AVE
ROSSVILLE, GA 30741
Counselor (Addiction (Substance Use Disorder))
822 CHICKAMAUGA AVE
ROSSVILLE, GA 30741
Counselor (Addiction (Substance Use Disorder))
822 CHICKAMAUGA AVE
ROSSVILLE, GA 30741
Counselor (Addiction (Substance Use Disorder))
822 CHICKAMAUGA AVE
ROSSVILLE, GA 30741
Licensed Practical Nurse
822 CHICKAMAUGA AVE
ROSSVILLE, GA 30741
Counselor (Addiction (Substance Use Disorder))
822 CHICKAMAUGA AVE
ROSSVILLE, GA 30741
Counselor (Addiction (Substance Use Disorder))
822 CHICKAMAUGA AVE
ROSSVILLE, GA 30741
Counselor (Addiction (Substance Use Disorder))
822 CHICKAMAUGA AVE
ROSSVILLE, GA 30741

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 Neptune Clinical Group, Inc.'s NPI number?

The NPI number for Neptune Clinical Group, Inc. is 1669572335. It was assigned to this organization in the NPPES registry on September 23, 2006. The provider is doing business as Private Clinic North.

Where is Neptune Clinical Group, Inc. located?

Neptune Clinical Group, Inc. is located at 822 Chickamauga Ave, Rossville, GA 30741. The listed phone number is (706) 861-6458.

What is Neptune Clinical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Neptune Clinical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1042615) is associated with this NPI, valid through July 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Neptune Clinical Group, Inc. was last updated on March 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.