OrganizationActive
Avita Community Partners
NPI 1205158813 · Mental Illness Community Based Residential Treatment Facility · Toccoa, GA
Provider details
- NPI number
- 1205158813
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Karen Tucker, Billing Manager(678) 513-5700
- License
- MSW004930 (GA)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense MSW004930 (GA)
Residential Treatment Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
1763 Fernside Dr
Toccoa, GA 30577-8095
Phone: (706) 282-4542
Street-level locationGet directions
Mailing address
4331 Thurmon Tanner Rd
Flowery Branch, GA 30542-2829
Registry dates
- Enumerated
- 2010-02-23
- Last updated
- 2010-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.