NPI age
4 years
Enumerated 2022-02-07
● Active Type 2 · Organization
Old Town Outpatient Llc
Old Town Outpatient Llc is 1 of 148 substance abuse rehabilitation facility organizations in Georgia.
Primary specialty
Substance Abuse Rehabilitation Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Faulkenberry
Operator
Last NPPES update
2022-02-07
Source: monthly bulk 2026-05
How this organization compares
Across 148 active substance abuse rehabilitation facility providers in Georgia.
NPI age
4 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-02Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
508 Sunset Blvd
Brunswick, GA 315252082
Mailing address
508 Sunset Blvd
Brunswick, GA 315252082
Authorized official
Nathan Faulkenberry
Operator
📞 9122234363
Specialties
-
Substance Abuse Rehabilitation Facility PrimaryA facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Practice context
Single-site organization. Only one practice location on file.
Provyx · Custom healthcare lists
Need all 148 Substance Abuse Rehabilitation Facility providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →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.