MedMark Treatment Centers Columbus North – Substance Use Disorder Rehabilitation Clinic/Center, NPI 1700244415

MedMark Treatment Centers Columbus North is a healthcare provider. based in Lewisville, Texas. specializing in Substance Use Disorder Rehabilitation Clinic/Center. The organization holds a License No. GA-10141-M (GA). The NPI Number for MedMark Treatment Centers Columbus North is 1700244415

Main info

Organization
Name
MedMark Treatment Centers Columbus North
NPI
1700244415
Phone
(214) 379-3300
Address
1720 LAKEPOINTE DR STE 117
Authorized Official
BRUCE JARVIE VP, TREASURER
Enumeration Date
9 February 2016
Last Update Date
29 July 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness80
Years active:10State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for MedMark Treatment Centers Columbus North

  • 1720 LAKEPOINTE DR STE 117

    LEWISVILLE, TX 750576425

    Phone: (214) 379-3300

    Type: Mailing

  • 5617 PRINCETON AVE

    SUITE B

    COLUMBUS, GA 319043480

    Phone: (706) 257-7722

    Fax: (706) 257-7723

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-01-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-09-30 (256 days ago).

Enrollment records

1

Earliest due date

2025-09-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20200107003546OOpioid Treatment Program (Otp)GA2025-09-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G2067Medication 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 treatm64820$0
View full utilization report →

Insurance plans in this area (ZIP 75057)

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Reviews

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Frequently asked questions

What number should I use to identify MedMark Treatment Centers Columbus North for billing?
Administrative and clinical systems typically use NPI 1700244415 for MedMark Treatment Centers Columbus North.
Should I treat MedMark Treatment Centers Columbus North as an active provider?
Patients and plans typically see MedMark Treatment Centers Columbus North as active in the national extract.
What services align with MedMark Treatment Centers Columbus North's listing?
MedMark Treatment Centers Columbus North's public classification highlights Substance Use Disorder Rehabilitation Clinic/Center. Clinical services aligned with this taxonomy classification.
Which community is linked to MedMark Treatment Centers Columbus North?
MedMark Treatment Centers Columbus North shows a connection to Lewisville, Texas in registry-derived data.
Who maintains MedMark Treatment Centers Columbus North's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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