PREFERRED TREATMENT CENTER, LLC
NPI 1831598572
Family Medicine - Addiction Medicine in Dublin, GA

Active since August 19, 2014CLIA 11D1088976 · Waiver
108 CORPORATE SQ STE A, DUBLIN, GA 31021(478) 274-8426(478) 274-8430 Get Directions Write a Review

NPPES record last updated: August 19, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Preferred Treatment Center, Llc NPPES

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

PREFERRED TREATMENT CENTER, LLC (NPI 1831598572) is a healthcare organization registered as an addiction medicine in Dublin, Georgia and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through September 8, 2026 and lists Brenda L Gordy, Program Director, Administrator, as its authorized official.

NPPES Registry Identity

NPI1831598572
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NamePREFERRED TREATMENT CENTER, LLC
Location Address108 CORPORATE SQ STE ADublin, GA 31021-4252
Mailing Address8152 Georgia Highway 272Sandersville, GA 31082 · (478) 274-8426 · Fax (478) 274-8430
Fax(478) 274-8430
Organization SubpartNo
Authorized OfficialBrenda L GordyProgram Director, Administrator · (478) 232-7556
Enumeration DateAugust 19, 2014
NPI 1831598572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

108 CORPORATE SQ STE A, Dublin, GA 31021

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA 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
11D1088976
Facility Type
Other - NARCOTIC PROGRAM (NTP)
Certificate Effective Date
September 09, 2024
Certificate Expiration Date
September 08, 2026
Laboratory Director
BRENDA L. GORDY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Preferred Treatment Center, 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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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831598572, enumerated as an "organization" on August 19, 2014.

The provider is located at 108 CORPORATE SQ STE A DUBLIN, GA 31021 and the phone number is (478) 274-8426.

Family Medicine with taxonomy code 207QA0401X and a focus in Addiction Medicine.