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Sponsored| Name | Address | City |
|---|---|---|
| Cone Health LeBauer Pulmonary Care at Greensboro | 3511 West Market Street | Greensboro |
| New Season Treatment Center – Greensboro | 207 S Westgate Dr Suites G-J | Greensboro |
| Dr. Carol L. Sena, MD | 213 East Bessemer Avenue | Greensboro |
| Kip Alan Corrington, M.D. | 436 Spring Garden Street | Greensboro |
| Crossroads Treatment Centers Greensboro | 2706 N Church St | Greensboro |
| Alcohol and Drug Services (ADS) | 1101 Carolina St | Greensboro |
| Dr. Rupinder Kaur, MD | 3300 Battleground Ave, Greensboro, NC 27410 | Greensboro |
| Chatham Recovery | 1758 E 11th Street Suite E | Siler City |
| Insight Human Services | 665 West Fourth St. | Winston Salem |
| Thomasville Treatment Associates | 1301 National Hwy | Thomasville |
| ALEF Reidsville | 3580 NC Hwy 14 | Reidsville |
| Crossroads Danville | 1555 Meadowview Dr | Danville |
| Hillsborough Recovery Solutions | 129 Mayo Street | Hillsborough |
| Winston-Salem Comprehensive Treatment Center | 1617 S Hawthorne Rd | Winston Salem |
| Lexington Treatment Associates | 310 Murphy Drive | Lexington |
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Medication treatment for opioid use disorder in Greensboro
Greensboro sits in Guilford County, a Piedmont metro where opioid use disorder (OUD) is treated with the same three medications used everywhere in the country, delivered through two kinds of settings. Methadone comes through federally certified opioid treatment programs (OTPs). Buprenorphine, including Suboxone, and naltrexone (Vivitrol) come through those programs or through a doctor’s office and a regular pharmacy. Because Greensboro is an urban center, both clinic-based and office-based care operate here, and telehealth reaches people who cannot easily travel. The listings above show local providers you can call now, and the site helpline can help you take the first step.
Your medication options and where to get them
There are three FDA-approved medications for OUD, and knowing how each is dispensed tells you what the listings above represent. Methadone for OUD is provided only through a licensed opioid treatment program, not a regular pharmacy. It is taken daily at first, with take-home doses added over time as treatment stabilizes. Buprenorphine, a partial opioid medication that eases withdrawal and cravings, can be prescribed in a doctor’s office and filled at a pharmacy, or provided through a clinic; it comes as a daily film or tablet (often the buprenorphine-naloxone combination sold as Suboxone) and as a monthly extended-release injection such as Sublocade. Naltrexone, including the monthly Vivitrol injection, blocks opioid effects and can be prescribed by any licensed provider, but it starts only after you have been off opioids for a set time. No single medication is right for everyone, which is why the choice is one you make with a clinician. If you want to think it through first, here is how methadone and Suboxone compare, along with a fuller look at how methadone works and what to expect at a methadone clinic.
Starting treatment: what the first visit looks like
The first step is an intake assessment, where a provider reviews your history and helps you choose a medication. Bring an ID and any insurance information if you have them, but not having them should not stop you from calling. Some programs offer same-day or walk-in starts. If you have been using fentanyl, timing matters: starting buprenorphine too soon after fentanyl can trigger sudden, severe withdrawal (called precipitated withdrawal), so a clinician plans the first dose with you rather than rushing it. Methadone induction is handled inside the OTP and does not carry that same risk. There is no single right answer here, only the one that fits your situation. You can read more about methadone treatment when fentanyl is involved and about opioid addiction treatment generally.
Take-home doses, telehealth, and current rules
Federal rules updated in 2024 (a revision of 42 CFR Part 8) expanded take-home methadone to as much as a 28-day supply for patients who are stable in treatment, on a graduated schedule earlier on. The same update allowed treatment to begin by telehealth and removed the old requirement that a person have a year of opioid use before being admitted. Take-home eligibility is decided by your program based on stability, not by a fixed timeline. For buprenorphine, telehealth flexibilities remain in place as of July 2026: it can be started through a video visit, and by phone in many cases, without a prior in-person appointment. Those telehealth rules run through the end of 2026 and are still being finalized, so confirm current options with a provider. Methadone for OUD is still dispensed through an OTP. If you are transferring in from another program or need a guest dose while traveling, call the clinic directly; continuity is easier to arrange than most people expect, and staying on a steady dose is what keeps long-term treatment working.
Paying for treatment in North Carolina
North Carolina Medicaid covers all three medications for OUD, including methadone through opioid treatment programs and buprenorphine and naltrexone through pharmacies and offices (NC Medicaid State Plan, 2025). For most Guilford County residents with complex behavioral health needs, that coverage now runs through a Behavioral Health and Intellectual/Developmental Disabilities Tailored Plan, which launched July 1, 2024; Guilford County’s Tailored Plan is administered by Trillium Health Resources. The state expanded Medicaid in December 2023, so more adults now qualify than did a few years ago. Private insurance and Medicare also cover MOUD, though plans vary, and many programs offer self-pay or sliding-scale options. If cost is your first worry, say so when you call; programs deal with this every day.
The opioid picture in Guilford County
Opioid loss is real here, and so is the response. Guilford County reported an overdose death rate of 38.7 per 100,000 residents in 2024, representing 213 people (Guilford County Division of Public Health, 2025). Fentanyl drives most opioid deaths across North Carolina, as it does nationally. The county is putting settlement money to work against those numbers: it expects $40.75 million in opioid settlement funds between 2023 and 2039, directed toward overdose response, naloxone, and treatment access. The point of a figure like this is not to frighten you but to be honest about why treatment matters and to show that help is organized and local. Effective medication treatment exists in Greensboro, and the providers above are the place to start. For background, here is more on opioid addiction and how it is treated.
Overdose safety and naloxone
Naloxone, the medication that reverses an opioid overdose, is available in North Carolina without a personal prescription. Under the state’s standing order, any pharmacist licensed in North Carolina can dispense it, and community programs distribute it free. North Carolina’s 911 Good Samaritan Law (first enacted in 2013) protects people who call for help during an overdose from certain drug-possession charges, so calling 911 is always the right move. Locally, the Guilford County Solution to the Opioid Problem (GCSTOP), a Guilford County and UNC Greensboro collaboration, runs syringe services, post-overdose response, naloxone training, and low-barrier medication access at no cost. Keeping naloxone on hand is basic safety, and a return to use is a manageable part of a chronic condition, not a failure. If it happens, treatment is still there.
Pregnancy, parenting, and justice-involved care
Some situations call for a provider with specific experience. For pregnant patients, medication treatment with methadone or buprenorphine is the recommended standard of care, and starting or staying in treatment is safer for both parent and baby than stopping; providers can also explain neonatal opioid withdrawal syndrome (NOWS) and how it is managed. Fear of child-welfare involvement keeps some pregnant people from seeking care, so it is worth knowing that treatment is what supports keeping a family together, and North Carolina’s Plan of Safe Care framework is built around care, not punishment. Guilford County has invested settlement funds in a treatment program for pregnant and parenting women. For people involved with drug courts, probation, or reentry after incarceration, ask a program directly whether it accepts your referral and can provide documentation; many do. Treatment records are protected health information. You can read more about methadone and pregnancy and about how families can help.
Common questions about treatment in Greensboro
Do I have to go to a clinic every day?
Not necessarily. Methadone starts with daily dosing at an OTP, but take-home doses are added as you stabilize, up to a 28-day supply for stable patients under 2024 federal rules. Buprenorphine and naltrexone are usually prescribed for you to fill at a pharmacy, so daily clinic visits are not required.
Which is better, methadone or Suboxone?
Neither is better for everyone. Methadone and buprenorphine (Suboxone) are both effective, and the right choice depends on your history, what you have tried, and your daily life. A clinician helps you weigh them. Here is a broader set of answers to common treatment questions.
Can I start buprenorphine by telehealth?
As of July 2026, yes, in many cases, including by phone, without a prior in-person visit. These rules run through the end of 2026 and are being finalized, so confirm current options when you call a provider.
Is methadone just trading one addiction for another?
No. Medication treatment is a legitimate, evidence-based way to manage a chronic condition; taking a prescribed, steady dose is not the same as active drug use. For more, see whether you can get addicted to methadone.
What if I have no insurance?
Many programs offer self-pay or sliding-scale fees, and North Carolina Medicaid covers all three medications for those who qualify, including after the state’s 2023 Medicaid expansion. Ask about cost when you call.
About this page
Last reviewed July 2026.
Sources
- North Carolina Medicaid, State Plan Amendment on Medication Assisted Treatment coverage, 2025. medicaid.gov
- NC Medicaid, Behavioral Health and I/DD Tailored Plans (launched July 1, 2024). medicaid.ncdhhs.gov
- Guilford County, opioid settlement stakeholder session (2024 overdose rate of 38.7 per 100,000, 213 deaths), 2025. guilfordcountync.gov
- Guilford County Solution to the Opioid Problem (GCSTOP). gcstop.uncg.edu
- North Carolina Division of Public Health, overdose epidemic data. dph.ncdhhs.gov
- North Carolina statewide naloxone standing order and 911 Good Samaritan Law. ncdhhs.gov
- SAMHSA, medications for opioid use disorder and 2024 update to 42 CFR Part 8. samhsa.gov
- DEA and HHS, fourth temporary extension of telemedicine flexibilities through December 31, 2026. dea.gov
Methadone Centers is a treatment-discovery and education resource, not a medical provider. We do not provide medical advice, diagnosis, or treatment; talk with a licensed clinician about your care.
Some listings and the helpline connection may be provided by sponsors or paid advertisers. Contacting a provider or the helpline does not create any obligation, and you can choose any provider you wish.