OrganizationActive
Mba Wellness Centers
NPI 1174862908 · Methadone Clinic · Stockbridge, GA
Provider details
- NPI number
- 1174862908
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- India Johnson, Co-Owner(770) 474-4009
- License
- NTP001062 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
1233 Eagles Landing Pkwy
Suite C&d
Stockbridge, GA 30281-6399
Phone: (770) 474-4009
Fax: (770) 474-8003
Street-level locationGet directions
Mailing address
1233 Eagles Landing Pkwy
Stockbridge, GA 30281-6399
Registry dates
- Enumerated
- 2013-02-14
- Last updated
- 2013-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.