MEDMARK TREATMENT CENTERS COLUMBUS NORTH
NPI 1700244415
Clinic/Center - Rehabilitation, Substance Use Disorder in Columbus, GA

Q: What is Columbus Addiction Associates, LLC's NPI number?

The NPI number for Columbus Addiction Associates, LLC is 1700244415. It was assigned to this organization in the NPPES registry on February 9, 2016. The provider is doing business as Medmark Treatment Centers Columbus North.

Q: What is Columbus Addiction Associates, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since February 09, 2016CLIA 11D2069285 · Waiver

5617 PRINCETON AVE, SUITE B, COLUMBUS, GA 31904(706) 257-7722(706) 257-7723 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2024, Jan 18, 2023, Apr 20, 2022 and 3 more (6 updates tracked since 2016).

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About Medmark Treatment Centers Columbus North NPPES

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

MEDMARK TREATMENT CENTERS COLUMBUS NORTH (NPI 1700244415) is a healthcare organization registered as a rehabilitation, substance use disorder in Columbus, Georgia and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through November 20, 2027 and lists Bruce Jarvie, Vp, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1700244415

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameCOLUMBUS ADDICTION ASSOCIATES, LLC

Location Address5617 PRINCETON AVE, SUITE BColumbus, GA 31904-3480

Mailing Address1720 Lakepointe Dr Ste 117Lewisville, TX 75057-6425 · (214) 379-3300

Phone(706) 257-7722

Fax(706) 257-7723

Organization SubpartNo

Authorized OfficialBruce JarvieVp, Treasurer · (214) 379-3300

Enumeration DateFebruary 9, 2016

Last NPPES UpdateJuly 29, 20246 updates tracked since enumeration

NPPES CertifiedJuly 29, 2024

✔ NPI 1700244415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X · License GA-10141-M (GA)

5617 PRINCETON AVE, Columbus, GA 31904

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Other Names 1

Doing Business AsMedmark Treatment Centers Columbus 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 11D2069285

Columbus Addiction Associates, LLC Medmark Treatment Centers Columbus North · Columbus, GA

Active · expires Nov 20, 2027

CLIA Number11D2069285

Laboratory TypeNarotic Treatment Program

Certificate Effective DateNovember 21, 2025

Certificate Expiration DateNovember 20, 2027

Laboratory DirectorAkinlawon O. Ayeni

Laboratory Phone(706) 257-7722

Laboratory LocationColumbus Addiction Associates, LLC Medmark Treatment Centers Columbus North5617 Princeton Avenue, Suite B, Columbus, GA 31904

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 4

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.

611 services20 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.

181 services14 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.

68 services21 patients

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) G2074

Medication 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.

31 services11 patients

Other Providers at the Same Location NPPES 9

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

AMANDA BURTON HOOD MS

Counselor (Addiction (Substance Use Disorder))