HEALTHQWEST FRONTIERS LLC
NPI 1770285504
Clinic/Center - Methadone in Canton, GA

Active since March 17, 2023CLIA 11D2284809 · Waiver
230 RIVERSTONE PKWY STE C, CANTON, GA 30114(470) 863-6370 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Healthqwest Frontiers Llc NPPES

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

HEALTHQWEST FRONTIERS LLC (NPI 1770285504), doing business as Healthqwest Frontiers - Canton, is a healthcare organization registered as a methadone in Canton, Georgia and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through June 28, 2027 and lists Robyn Tanis, Executive Director Of Contract Mgmt, as its authorized official.

NPPES Registry Identity

NPI1770285504
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameHEALTHQWEST FRONTIERS LLC
Location Address230 RIVERSTONE PKWY STE CCanton, GA 30114-6414
Mailing Address1317 Route 73 Ste 200Mount Laurel, NJ 08054-2202 · (856) 439-6111
Organization SubpartNo
Authorized OfficialRobyn TanisExecutive Director Of Contract Mgmt · (856) 533-8762
Enumeration DateMarch 17, 2023
NPPES CertifiedMarch 17, 2023
NPI 1770285504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
230 RIVERSTONE PKWY STE C, Canton, GA 30114

Other Names 1

Doing Business AsHealthqwest Frontiers - Canton

Accepted Insurance

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 11D2284809

Healthqwest Frontiers, LLC · Canton, GA
Active · expires Jun 28, 2027
CLIA Number11D2284809
Laboratory TypeSubstance Abuse Treatment
Certificate Effective DateJune 29, 2025
Certificate Expiration DateJune 28, 2027
Laboratory DirectorChinonso A. Ezike
Laboratory Phone(470) 627-6106
Laboratory LocationHealthqwest Frontiers, LLC230 Riverstone Parkway, Suite C, Canton, GA 30114
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Licensed Practical Nurse
230 RIVERSTONE PKWY STE C
CANTON, GA 30114
Counselor (Addiction (Substance Use Disorder))
230 RIVERSTONE PKWY STE C
CANTON, GA 30114

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 Healthqwest Frontiers LLC's NPI number?

The NPI number for Healthqwest Frontiers LLC is 1770285504. It was assigned to this organization in the NPPES registry on March 17, 2023. The provider is doing business as HealthQwest Frontiers - Canton.

Where is Healthqwest Frontiers LLC located?

Healthqwest Frontiers LLC is located at 230 Riverstone Pkwy Ste C, Canton, GA 30114. The listed phone number is (470) 863-6370.

What is Healthqwest Frontiers LLC's specialty?

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

Does Healthqwest Frontiers LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2284809) is associated with this NPI, valid through June 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Healthqwest Frontiers LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Healthqwest Frontiers LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Healthqwest Frontiers LLC was last updated on March 17, 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.