OrganizationActive
South Georgia Treatment, Inc
NPI 1093963944 · Methadone Clinic · Jackson, GA
South Georgia Treatment, Inc is a Methadone Clinic organization in Jackson, GA (NPI 1093963944).
Provider details
- NPI number
- 1093963944
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nicole Mcconnell, Administrator(770) 775-9044
- License
- NTP-001027 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
794 Mcdonough Rd
Jackson, GA 30233-1572
Phone: (770) 775-9044
Street-level locationGet directions
Mailing address
794 Mcdonough Rd
Jackson, GA 30233-1572
Registry dates
- Enumerated
- 2008-09-04
- Last updated
- 2008-09-04
Frequently asked questions
- What is South Georgia Treatment, Inc's NPI number?
- South Georgia Treatment, Inc's National Provider Identifier (NPI) is 1093963944, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Georgia Treatment, Inc?
- South Georgia Treatment, Inc is classified in the NPPES registry as Methadone Clinic (Ambulatory Health Care Facilities).
- Where is South Georgia Treatment, Inc located?
- South Georgia Treatment, Inc's practice location on file with NPPES is 794 Mcdonough Rd, Jackson, GA 30233-1572.
- What is South Georgia Treatment, Inc's phone number?
- The practice phone number listed in the NPPES registry for South Georgia Treatment, Inc is (770) 775-9044.
- Who is the authorized official for South Georgia Treatment, Inc?
- The authorized official listed on South Georgia Treatment, Inc's NPPES record is Nicole Mcconnell, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Georgia Treatment, Inc's NPI active?
- Yes — South Georgia Treatment, Inc's NPI (1093963944) is active in the NPPES registry as of the last update on 2008-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.