OMNIS HEALTH LIFE, LLC – Methadone Clinic, NPI 1154861557
Methadone Clinic
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for OMNIS HEALTH LIFE, LLC
162 PONTE VEDRA DR
FAYETTEVILLE, GA 302158040
Phone: (678) 561-2823
Type: Mailing
2200, Garrison Boulevard, Mount Holly, Baltimore, Maryland, 21216, United States
BALTIMORE, MD 212162619
Phone: (667) 212-4187
Type: Location
2200 GARRISON BLVD STE 100 200 300
BALTIMORE, MD 212162619
Phone: (667) 212-4187
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-02-11
PECOS data refreshed: 2026-06-15
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm | 944 | 34 | $0 |
| G2077 | Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for | 22 | 12 | $0 |
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