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STILLWATER SOUTH LLC
NPI 1891449351
Substance Abuse Rehabilitation Facility in Canton, GA

Active since February 03, 2022
553 STOVER RD, CANTON, GA 30115(503) 791-3205 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stillwater South Llc NPPES

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

STILLWATER SOUTH LLC (NPI 1891449351) is a healthcare organization registered as a substance abuse rehabilitation facility in Canton, Georgia and active in the NPI registry since February 2022. The organization lists Nicholas Mathews, Ceo, as its authorized official.

NPPES Registry Identity

NPI1891449351
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSTILLWATER SOUTH LLC
Location Address553 STOVER RDCanton, GA 30115-4508
Mailing Address4575 Webb Bridge RdAlpharetta, GA 30005-4256 · (503) 791-3205
Phone(503) 791-3205
Organization SubpartNo
Authorized OfficialNicholas MathewsCeo · (503) 791-3205
Enumeration DateFebruary 3, 2022
NPPES CertifiedFebruary 3, 2022
✔ NPI 1891449351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
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.
553 STOVER RD, Canton, GA 30115
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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 Stillwater South LLC's NPI number?

The NPI number for Stillwater South LLC is 1891449351. It was assigned to this organization in the NPPES registry on February 3, 2022.

Where is Stillwater South LLC located?

Stillwater South LLC is located at 553 Stover Rd, Canton, GA 30115. The listed phone number is (503) 791-3205.

What is Stillwater South LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Stillwater South LLC was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.