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NPI 1477041143
● Active Type 2 · Organization
Medmark Treatment Centers Of Georgia, Inc.
Clinic/Center · Chatsworth, GA · NPI 1477041143
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Enumerated 2018 · 8 years on NPI
Medmark Treatment Centers Of Georgia, Inc. is 1 of 117 clinic/center organizations in Georgia.
NPI age
8 years
Enumerated 2018-04-27
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jarvie
Vp, Treasurer
Last NPPES update
2025-09-12
Source: monthly bulk 2026-05
How this organization compares
Across 117 active clinic/center providers in Georgia.
NPI age
8 years
≈ at median (7 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 36% of peers with subspecialties
NPI lifetime · 2018 → 2026
2018-04 Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
1289 Gi Maddox Pkwy
Chatsworth, GA 307052069
📞 7069713366 fax 2145502635
Mailing address
1720 Lakepointe Dr Ste 117
Lewisville, TX 750576425
📞 2143793300 fax 2148539018
Authorized official
Bruce Jarvie
Vp, Treasurer
📞 2143793300
Individual providers at this organization
11 individual providers on file at this primary practice address.
Specialties
Clinic/Center
Primary
Definition to come...
taxonomy 261QR0405X
Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
taxonomy 261QM2800X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
11 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.