HEALTHQWEST LLC
NPI 1730482621
Clinic/Center - Methadone in Douglasville, GA

NPI Status: Active since December 15, 2010

Contact Information

2109 FAIRBURN RD STE A
DOUGLASVILLE, GA
ZIP 30135
Phone: (770) 726-7958
Fax: (770) 693-0829

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  • Organization
  • Clinic/Center
  • Methadone
  • Accepts Insurance
  • CLIA Number: 11D2000712
  • CLIA Cert. Type: Other - OPIOD TREATMENT PROGRAM
  • CLIA Exp. Date: 12-03-2025

About HEALTHQWEST LLC

This page provides the complete NPI Profile along with additional information for Healthqwest Llc, a provider established in Douglasville, Georgia operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1730482621 assigned on December 2010. The practitioner's primary taxonomy code is 261QM2800X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Robyn Tanis (Executive Director Of Contract Mgmt)

NPI
1730482621
Provider Name
HEALTHQWEST LLC
Entity Type
Organization
Location Address
2109 FAIRBURN RD STE A DOUGLASVILLE, GA 30135
Location Phone
(770) 726-7958
Location Fax
(770) 693-0829
Mailing Address
1317 ROUTE 73 STE 200 MOUNT LAUREL, NJ 08054
Mailing Phone
(856) 439-6111
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-15-2010
Last Update Date
09-02-2020
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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 Methadone

Taxonomy Code
261QM2800X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

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)
1251S00000XAgencies

Community/Behavioral Health

PHOP000056 (GA)
2261QR0800XAmbulatory Health Care Facilities

Clinic/Center
Recovery Care

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Complete Silver with Atrium Health - HMO
  • Complete Silver with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBYN TANIS

Authorized Official Title
EXECUTIVE DIRECTOR OF CONTRACT MGMT
Authorized Official Phone
(856) 533-8762

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 547 times for 20 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

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.

This service was performed 146 times for 13 patients

CLIA 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
11D2000712
Facility Type
Other - OPIOD TREATMENT PROGRAM
Certificate Effective Date
December 04, 2023
Certificate Expiration Date
December 03, 2025
Laboratory Director
JEFFREY BRADLEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Healthqwest Llc 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.

Reviews for HEALTHQWEST LLC

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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.
1730482621
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
276088464
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 8 + 8 + 4 + 6 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1730482621 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659875508 ONEDIA SWINT LPN
Individual
Licensed Practical Nurse2109 FAIRBURN RD STE A
DOUGLASVILLE, GA 30135
(770) 726-7958
1215434436 LACY NICOLE TAYLOR LPN
Individual
Licensed Practical Nurse2109 FAIRBURN RD STE A
DOUGLASVILLE, GA 30135
(770) 726-7958
1568948123 CONSUELO DENISE WALKER LPC
Individual
Licensed Practical Nurse2109 FAIRBURN RD STE A
DOUGLASVILLE, GA 30135
(770) 726-7958
1881153161 KRISTY KAY GARRETT BS
Individual
Counselor (Addiction (Substance Use Disorder))2109 FAIRBURN RD STE A
DOUGLASVILLE, GA 30135
(770) 726-7958
1487214656 KAIYA HAMILTON
Individual
Licensed Vocational Nurse2109 FAIRBURN RD STE A
DOUGLASVILLE, GA 30135
(770) 726-7958
1376168302 SHAHAGONY BANKS CIT
Individual
Counselor (Addiction (Substance Use Disorder))2109 FAIRBURN RD STE A
DOUGLASVILLE, GA 30135
(770) 726-7958
1760079800MRS. TAWANNA LATOYA ROANE-STILL LPN
Individual
Licensed Practical Nurse2109 FAIRBURN RD STE A
DOUGLASVILLE, GA 30135
(770) 726-7958
1598419558 JENNIFER OWENS CACII
Individual
Counselor (Addiction (Substance Use Disorder))2109 FAIRBURN RD STE A
DOUGLASVILLE, GA 30135
(678) 275-2370

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730482621, enumerated in the NPI registry as an "organization" on December 15, 2010

The provider is located at 2109 Fairburn Rd Ste A Douglasville, Ga 30135 and the phone number is (770) 726-7958

This medical organization specializes in Clinic/Center with taxonomy code 261QM2800X with a focus in Methadone

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

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 and 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.

The provider's CLIA number is 11D2000712 for a "other - opiod 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 December 15, 2010. 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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