NORTH FULTON TREATMENT CENTER
NPI 1881906386
Clinic/Center - Methadone in Roswell, GA

NPI Status: Active since July 13, 2010

Contact Information

601 BOMBAY LN
ROSWELL, GA
ZIP 30076
Phone: (770) 754-4674
Fax: (770) 754-4676

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  • Organization
  • Clinic/Center
  • Methadone
  • Accepts Insurance

About NORTH FULTON TREATMENT CENTER

This page provides the complete NPI Profile along with additional information for North Fulton Treatment Center, a provider established in Roswell, Georgia operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1881906386 assigned on July 2010. The practitioner's primary taxonomy code is 261QM2800X with license number NTP001016 (GA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as North Fulton Treatment Center. The authorized official of this NPI record is Mrs. Cassandra Wanzo Md (Medical Director)

NPI
1881906386
Provider Legal Name
RENAISSANCE RECOVERY GROUP INC
Other Organization Name
NORTH FULTON TREATMENT CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
601 BOMBAY LN ROSWELL, GA 30076
Location Phone
(770) 754-4674
Location Fax
(770) 754-4676
Mailing Address
601 BOMBAY LN ROSWELL, GA 30076
Mailing Phone
(770) 754-4674
Mailing Fax
(770) 754-4676
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-13-2010
Last Update Date
07-13-2010
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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 Methadone

Taxonomy Code
261QM2800X
Type
Ambulatory Health Care Facilities
License No.
NTP001016
License State
GA
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

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

MRS. CASSANDRA WANZO MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(770) 754-4674

Reviews for NORTH FULTON TREATMENT CENTER

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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.
1881906386
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2816118012316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 6 + 1 + 1 + 8 + 0 + 1 + 2 + 3 + 1 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1881906386 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013060565MRS. MELISSA RAGSDALE GOODWIN LPC
Individual
Counselor (Mental Health)601 BOMBAY LN
ROSWELL, GA 30076
(770) 262-2080
1932475639 BRANDI QUINN ANP-BC
Individual
Nurse Practitioner (Adult Health)601 BOMBAY LN
ROSWELL, GA 30076
(770) 754-4674
1487936290 PATRICIA LYNN MONAHAN LPC
Individual
Counselor (Professional)601 BOMBAY LN
ROSWELL, GA 30076
(770) 744-2308
1922384320 DIANNE STANFORD JOHNSON LCSW
Individual
Social Worker601 BOMBAY LN
ROSWELL, GA 30076
(770) 754-4674
1376053314 ASHLEY LYNN PHELPS ARNP
Individual
Nurse Practitioner (Family)601 BOMBAY LN
ROSWELL, GA 30076
(706) 754-4674
1912383456 NONA GHAZBAN LPC
Individual
Counselor (Professional)601 BOMBAY LN
ROSWELL, GA 30076
(706) 265-2244

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881906386, enumerated in the NPI registry as an "organization" on July 13, 2010

The provider is located at 601 Bombay Ln Roswell, Ga 30076 and the phone number is (770) 754-4674

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.

This NPI record was last updated on July 13, 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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