ADDICTION TREATMENT CENTER OF ATLANTA LLC
NPI 1992400204
Family Medicine - Addiction Medicine in Acworth, GA

Active since April 04, 2023
6380 BELLS FERRY RD STE 107, ACWORTH, GA 30102(404) 989-7384(855) 604-0965 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 17, 2026, Feb 26, 2025, Feb 7, 2025 and 1 more (4 updates tracked since 2023).

About Addiction Treatment Center Of Atlanta Llc NPPES

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

ADDICTION TREATMENT CENTER OF ATLANTA LLC (NPI 1992400204) is a healthcare organization registered as an addiction medicine in Acworth, Georgia and active in the NPI registry since April 2023. The organization lists Ajibola Babatunde, Md, as its authorized official.

NPPES Registry Identity

NPI1992400204
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameADDICTION TREATMENT CENTER OF ATLANTA LLC
Location Address6380 BELLS FERRY RD STE 107Acworth, GA 30102-5435
Mailing Address6380 Bells Ferry Rd Ste 107Acworth, GA 30102-5435 · (404) 989-7384 · Fax (855) 604-0965
Fax(855) 604-0965
Organization SubpartNo
Authorized OfficialAjibola BabatundeMd · (678) 702-4488
Enumeration DateApril 4, 2023
Last NPPES UpdateApril 17, 20264 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
✔ NPI 1992400204 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.
6380 BELLS FERRY RD STE 107, Acworth, GA 30102

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Addiction Treatment Center Of Atlanta Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Addiction Treatment Center Of Atlanta LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Addiction Medicine
NPI 1629573936
6380 BELLS FERRY RD STE 107
Acworth, GA 30102
(678) 702-4488
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Compliance 11D2307608

Addiction Treatment Center Of Atlanta · Acworth, GA
Expired · Oct 20, 2026
CLIA Number11D2307608
Laboratory TypePhysician Office
Certificate Effective DateOctober 21, 2024
Certificate Expiration DateOctober 20, 2026
Laboratory DirectorStanley Y. Wu
Laboratory Phone(404) 939-7384
Laboratory LocationAddiction Treatment Center Of Atlanta6380 Bells Ferry Road, Suite 107, Acworth, GA 30102
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Addiction Treatment Center Of Atlanta LLC's NPI number?

The NPI number for Addiction Treatment Center Of Atlanta LLC is 1992400204. It was assigned to this organization in the NPPES registry on April 4, 2023.

Where is Addiction Treatment Center Of Atlanta LLC located?

Addiction Treatment Center Of Atlanta LLC is located at 6380 Bells Ferry Rd Ste 107, Acworth, GA 30102. The listed phone number is (404) 989-7384.

What is Addiction Treatment Center Of Atlanta LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Addiction Treatment Center Of Atlanta LLC enrolled in Medicare?

Yes. Addiction Treatment Center Of Atlanta LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Addiction Treatment Center Of Atlanta LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Addiction Medicine) reassigns their Medicare billing to Addiction Treatment Center Of Atlanta LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Addiction Treatment Center Of Atlanta LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan and 10 other insurers list Addiction Treatment Center Of Atlanta LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Addiction Treatment Center Of Atlanta LLC was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.