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PITTARD CLINIC LLC
NPI 1912528696
Clinic/Center - Methadone in Toccoa, GA

Active since May 04, 2020CLIA Certified · 2 labs
1654 FALLS RD, TOCCOA, GA 30577(706) 886-4420(706) 886-4410 Get Directions Write a Review

NPPES record last updated: May 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pittard Clinic Llc NPPES

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

PITTARD CLINIC LLC (NPI 1912528696) is a healthcare organization registered as a methadone in Toccoa, Georgia and active in the NPI registry since May 2020. The organization holds 2 active CLIA laboratory certificates and lists Maridan H Pittard, Owner, as its authorized official.

NPPES Registry Identity

NPI1912528696
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NamePITTARD CLINIC LLC
Location Address1654 FALLS RDToccoa, GA 30577
Mailing Address1654 Falls RdToccoa, GA 30577 · (706) 886-4420 · Fax (706) 886-4410
Phone(706) 886-4420
Fax(706) 886-4410
Organization SubpartNo
Authorized OfficialMaridan H PittardOwner · (706) 886-4420
Enumeration DateMay 4, 2020
NPPES CertifiedMay 4, 2020
✔ NPI 1912528696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1654 FALLS RD, Toccoa, GA 30577
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CLIA Laboratory Certificates CMS CLIA 2

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 11D2023226

Pittard Clinic, LLC, The · Toccoa, GA
Active · expires Apr 18, 2027
CLIA Number11D2023226
Laboratory TypePrivate Mmt Clinic
Certificate Effective DateApril 19, 2025
Certificate Expiration DateApril 18, 2027
Laboratory DirectorMs. Cindy Driggers
Laboratory Phone(706) 886-4420
Laboratory LocationPittard Clinic, LLC, The1654 Falls Road, Toccoa, GA 30577
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2127540

Pittard Clinic · Toccoa, GA
Active · expires Mar 14, 2027
CLIA Number11D2127540
Laboratory TypeM A T Program
Certificate Effective DateMarch 15, 2025
Certificate Expiration DateMarch 14, 2027
Laboratory DirectorCarl W. Smith
Laboratory Phone(706) 886-4420
Laboratory LocationPittard Clinic1678 Falls Road, Toccoa, GA 30577
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.
1,058 services39 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.
677 services32 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.
52 services25 patients

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 Pittard Clinic LLC's NPI number?

The NPI number for Pittard Clinic LLC is 1912528696. It was assigned to this organization in the NPPES registry on May 4, 2020.

Where is Pittard Clinic LLC located?

Pittard Clinic LLC is located at 1654 Falls Rd, Toccoa, GA 30577. The listed phone number is (706) 886-4420.

What is Pittard Clinic LLC's specialty?

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

Does Pittard Clinic LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Pittard Clinic LLC was last updated on May 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.