NPI age
6 years
Enumerated 2020-05-04
● Active Type 2 · Organization
Pittard Clinic Llc
Pittard Clinic Llc is 1 of 59 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Pittard
Owner
Last NPPES update
2020-05-04
Source: monthly bulk 2026-05
How this organization compares
Across 59 active clinic/center providers in Georgia.
NPI age
6 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-05Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
1654 Falls Rd
Toccoa, GA 30577
Mailing address
1654 Falls Rd
Toccoa, GA 30577
Authorized official
Maridan H Pittard
Owner
📞 7068864420
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.