P Praxis·MD
● Active Type 2 · Organization Subpart

Medmark Treatment Centers Of Georgia, Inc.

Clinic/Center·Columbus, GA· NPI 1770913287 · Enumerated 2013 · 12 years on NPI
Medmark Treatment Centers Of Georgia, Inc. is 1 of 117 clinic/center organizations in Georgia.
NPI age
12 years
Enumerated 2013-11-19
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
2024-07-29
Source: monthly bulk 2026-05

How this organization compares

Across 117 active clinic/center providers in Georgia.

NPI age
12 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 36% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-11Enumerated in NPPES
2013 2026

Where they practice

Primary practice location
1301 Wynnton Ct
Columbus, GA 319062140
📞 7065764033fax 7065764230
Mailing address
1720 Lakepointe Dr Ste 117
Lewisville, TX 750576425
📞 2143793300fax 2148539018

Authorized official

Bruce Jarvie
Vp, Treasurer
📞 2143793300

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #NTO001011 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.
    GA license #0000000 taxonomy 261QM2800X

Identifiers

TypeValueNotes
01 (GA) NTP001011 NARCOTIC TREATMENT PROGRAM PERMIT

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Medmark Treatment Centers Columbus
    Type code 3 recorded 2020-07-15
  • Medmark Treatment Centers Columbus
    Type code 3 recorded 2017-03-09

Practice context

Single-site organization. Only one practice location on file.

Subpart of Medmark Services,inc.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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