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SOUTHEAST GEORGIA TREATMENT CENTER
NPI 1952931164
Clinic/Center - Methadone in Eastman, GA

Active since January 16, 2020CLIA 11D2001176 · Waiver
816 PROFESSIONAL CENTER DR, EASTMAN, GA 31023(478) 374-0390 Get Directions Write a Review

NPPES record last updated: January 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southeast Georgia Treatment Center NPPES

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

SOUTHEAST GEORGIA TREATMENT CENTER (NPI 1952931164) is a healthcare organization registered as a methadone in Eastman, Georgia and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through January 26, 2027 and lists Thomas M Knight, Manger, as its authorized official.

NPPES Registry Identity

NPI1952931164
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameSOUTHEAST GEORGIA TREATMENT CENTER
Location Address816 PROFESSIONAL CENTER DREastman, GA 31023-6734
Mailing AddressPo Box 4306Eastman, GA 31023-4306 · (478) 374-0390 · Fax (478) 374-0458
Phone(478) 374-0390
Organization SubpartNo
Authorized OfficialThomas M KnightManger · (478) 231-4728
Enumeration DateJanuary 16, 2020
✔ NPI 1952931164 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.

816 PROFESSIONAL CENTER DR, Eastman, GA 31023
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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 11D2001176

Southeast Georgia Treatment Center · Eastman, GA
Active · expires Jan 26, 2027
CLIA Number11D2001176
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateJanuary 27, 2025
Certificate Expiration DateJanuary 26, 2027
Laboratory DirectorKevin Rogers
Laboratory Phone(478) 374-0390
Laboratory LocationSoutheast Georgia Treatment Center816 Professional Center Drive, Eastman, GA 31023
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Southeast Georgia Treatment Center's NPI number?

The NPI number for Southeast Georgia Treatment Center is 1952931164. It was assigned to this organization in the NPPES registry on January 16, 2020.

Where is Southeast Georgia Treatment Center located?

Southeast Georgia Treatment Center is located at 816 Professional Center Dr, Eastman, GA 31023. The listed phone number is (478) 374-0390.

What is Southeast Georgia Treatment Center's specialty?

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

Does Southeast Georgia Treatment Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2001176) is associated with this NPI, valid through January 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southeast Georgia Treatment Center was last updated on January 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.