OrganizationActive
Medmark Treatment Centers of Georgia, Inc.
NPI 1477041143 · Substance Use Disorder Rehabilitation Clinic/Center · Chatsworth, GA
Provider details
- NPI number
- 1477041143
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bruce Jarvie, Vp, Treasurer(214) 379-3300
Specialties & taxonomies
Ambulatory Health Care Facilities
- Methadone Clinic261QM2800X
Ambulatory Health Care Facilities
Practice location
1289 Gi Maddox Pkwy
Chatsworth, GA 30705-2069
Phone: (706) 971-3366
Fax: (214) 550-2635
Approximate (ZIP-level) locationGet directions
Mailing address
1720 Lakepointe Dr Ste 117
Lewisville, TX 75057-6425
Other names (DBA / former)
- Doing business as
- Medmark Treatment Centers Chatsworth
Registry dates
- Enumerated
- 2018-04-27
- Last updated
- 2025-09-12
- Certified
- 2024-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.