Organization · Type 2 NPI
Medmark Treatment Centers of Georgia, Inc.
Substance Use Disorder Rehabilitation Clinic/Center · Chatsworth, GA
NPI number
1477041143
Active
Practice location
1289 Gi Maddox Pkwy
Chatsworth, GA 30705-2069
Fax (214) 550-2635
Mailing address
1720 Lakepointe Dr Ste 117
Lewisville, TX 75057-6425
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Methadone Clinic | 261QM2800X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
12 other providers at this address
- Angela Sue PritchettAddiction (Substance Use Disorder) Counselor Chatsworth, GA NPI 1063083491
- Christina Marie LongAddiction (Substance Use Disorder) Counselor Chatsworth, GA NPI 1093614703
- Connie Lynn DavenportAddiction (Substance Use Disorder) Counselor Chatsworth, GA NPI 1497421044
- Cortney Dunn, LPNLicensed Practical Nurse Chatsworth, GA NPI 1700355070
- Darren Gerald WeeksAddiction (Substance Use Disorder) Counselor Chatsworth, GA NPI 1730750084
- Jessica TerrellAddiction (Substance Use Disorder) Counselor Chatsworth, GA NPI 1083372569
- Kayla Taylor, LPNLicensed Practical Nurse Chatsworth, GA NPI 1740934561
- Kirsten Tamara Shoemaker, BSWAddiction (Substance Use Disorder) Counselor Chatsworth, GA NPI 1609534312
- Lisa Monath, BS, CADCIIAddiction (Substance Use Disorder) Counselor Chatsworth, GA NPI 1346464831
- Milagro Knowles, RNAdult Psychiatric/Mental Health Registered Nurse Chatsworth, GA NPI 1831052372
- Molly Marie Bearden, LPNLicensed Practical Nurse Chatsworth, GA NPI 1104395300
- Victoria Nicole TuckerAddiction (Substance Use Disorder) Counselor Chatsworth, GA NPI 1477124782
About NPI 1477041143
Medmark Treatment Centers of Georgia, Inc.'s National Provider Identifier is 1477041143, issued on Apr 27, 2018. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Chatsworth, GA. The record was last updated on Sep 12, 2025.