MEDMARK TREATMENT CENTERS COLUMBUS NORTH
NPI 1700244415
Clinic/Center - Rehabilitation, Substance Use Disorder in Columbus, GA
NPI Status: Active since February 09, 2016
Contact Information
5617 PRINCETON AVE
SUITE B
COLUMBUS, GA
ZIP 31904
Phone: (706) 257-7722
Fax: (706) 257-7723
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
- CLIA Number: 11D2069285
- CLIA Cert. Type: Other - NAROTIC TREATMENT PROGRAM
- CLIA Exp. Date: 11-20-2025
About MEDMARK TREATMENT CENTERS COLUMBUS NORTH
This page provides the complete NPI Profile along with additional information for Medmark Treatment Centers Columbus North, a provider established in Columbus, Georgia operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1700244415 assigned on February 2016. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Medmark Treatment Centers Columbus North. The authorized official of this NPI record is Bruce Jarvie (Vp, Treasurer)
- NPI
- 1700244415
- Provider Legal Name
- COLUMBUS ADDICTION ASSOCIATES, LLC
- Other Organization Name
- MEDMARK TREATMENT CENTERS COLUMBUS NORTH
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 5617 PRINCETON AVE SUITE B COLUMBUS, GA 31904
- Location Phone
- (706) 257-7722
- Location Fax
- (706) 257-7723
- Mailing Address
- 1720 LAKEPOINTE DR STE 117 LEWISVILLE, TX 75057
- Mailing Phone
- (214) 379-3300
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-09-2016
- Last Update Date
- 07-29-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM2800X | Ambulatory Health Care Facilities | Clinic/Center | GA-10141-M (GA) |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
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
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.
This service was performed 603 times for 20 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2069285
- Facility Type
- Other - NAROTIC TREATMENT PROGRAM
- Certificate Effective Date
- November 21, 2023
- Certificate Expiration Date
- November 20, 2025
- Laboratory Director
- AKINLAWON O. AYENI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Medmark Treatment Centers Columbus North to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 0 | 0 | 2 | 4 | 4 | 4 | 1 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 4 | 4 | 8 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 4 + 4 + 8 + 4 + 2 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1700244415 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1366691271 | JANICE NIXON Individual | Counselor (Professional) | 5617 PRINCETON AVE COLUMBUS, GA 31904 (706) 257-7722 |
| 1811511959 | MR. RODERICK ARLANDUS BELT CADCT Individual | Counselor (Addiction (Substance Use Disorder)) | 5617 PRINCETON AVE COLUMBUS, GA 31904 (706) 257-7722 |
| 1972127488 | VICTORIA ROMANELLO Individual | Counselor (Addiction (Substance Use Disorder)) | 5617 PRINCETON AVE COLUMBUS, GA 31904 (706) 257-7722 |
| 1730703174 | CAROLE WOLF Individual | Counselor (Addiction (Substance Use Disorder)) | 5617 PRINCETON AVE COLUMBUS, GA 31904 (706) 257-7722 |
| 1952015232 | IYSHA MICHELL LEWIS LPN Individual | Licensed Practical Nurse | 5617 PRINCETON AVE COLUMBUS, GA 31904 (706) 257-7722 |
| 1023794922 | AMANDA BURTON HOOD MS Individual | Counselor (Addiction (Substance Use Disorder)) | 5617 PRINCETON AVE COLUMBUS, GA 31904 (706) 257-7722 |
| 1487409306 | JESSICA NEWHARD COUNSELOR Individual | Counselor (Addiction (Substance Use Disorder)) | 5617 PRINCETON AVE COLUMBUS, GA 31904 (706) 257-7722 |
| 1689420267 | JUNE Y WILSON LPN Individual | Licensed Practical Nurse | 5617 PRINCETON AVE COLUMBUS, GA 31904 (706) 257-7722 |
| 1962258541 | DARLENE DONOVAN Individual | Licensed Practical Nurse | 5617 PRINCETON AVE COLUMBUS, GA 31904 (706) 257-7722 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700244415, enumerated in the NPI registry as an "organization" on February 09, 2016
The provider is located at 5617 Princeton Ave Suite B Columbus, Ga 31904 and the phone number is (706) 257-7722
This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder
The most common procedures or services performed by this practitioner are: 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.
The provider's CLIA number is 11D2069285 for a "other - narotic treatment program" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on February 09, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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