TRI-STATE TREATMENT,LLC
NPI 1780036210
Substance Abuse Rehabilitation Facility in Wildwood, GA
NPI Status: Active since July 08, 2016
Contact Information
1236 HIGHWAY 299
WILDWOOD, GA
ZIP 30757
Phone: (423) 428-0045
Fax: (423) 428-0046
- Organization
- Substance Abuse Rehabilitation Facility
- CLIA Number: 11D2136124
- CLIA Cert. Type: Other - OPLATE TREATMENT PROGRAM
- CLIA Exp. Date: 09-04-2027
About TRI-STATE TREATMENT,LLC
This page provides the complete NPI Profile along with additional information for Tri-state Treatment,llc, a provider established in Wildwood, Georgia operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1780036210 assigned on July 2016. The practitioner's primary taxonomy code is 324500000X with license number NTP001071 (GA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Melissa M Hancock (Administrator)
- NPI
- 1780036210
- Provider Name
- TRI-STATE TREATMENT,LLC
- Entity Type
- Organization
- Location Address
- 1236 HIGHWAY 299 WILDWOOD, GA 30757
- Location Phone
- (423) 428-0045
- Location Fax
- (423) 428-0046
- Mailing Address
- 1236 HIGHWAY 299 WILDWOOD, GA 30757
- Mailing Phone
- (423) 428-0045
- Mailing Fax
- (423) 428-0046
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-08-2016
- Last Update Date
- 03-20-2024
- Code Navigator
Location Map
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
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License No.
- NTP001071
- License State
- GA
- Taxonomy Description
- 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.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
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
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
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.
This service was performed 645 times for 34 patientsThis 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.
This service was performed 788 times for 32 patientsCLIA 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
- 11D2136124
- Facility Type
- Other - OPLATE TREATMENT PROGRAM
- Certificate Effective Date
- September 05, 2025
- Certificate Expiration Date
- September 04, 2027
- Laboratory Director
- MELISSA M. HANCOCK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Tri-state Treatment,llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1780036210, 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
WILDWOOD, GA 30757
WILDWOOD, GA 30757
WILDWOOD, GA 30757
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780036210, enumerated as an "organization" on July 08, 2016.
The provider is located at 1236 HIGHWAY 299 WILDWOOD, GA 30757 and the phone number is (423) 428-0045.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
