Methadone Clinics in Franklin, North Carolina
1 SAMHSA-certified opioid treatment program operates inside Franklin city limits. Each clinic below carries a current NPI on the CMS Medicare Provider OTP file. We list the operator-stated phone next to our verified intake line so you choose how to make contact.
1 verified clinic in Franklin
Franklin at a glance
4,221
Residents
4.9 sq mi
Land area
47.3
Median age
$43,991
Median household income
18%
Uninsured (civilian)
10.2%
Families below poverty
Source: U.S. Census Bureau, ACS 5-year estimates (2023).
Overdose context for Macon County
Macon County reported a model-based drug poisoning death rate of 42.7 per 100,000 residents in 2021 (95% CI 36.3 to 50.2). That sits 50.1% above the national county mean of 28.5 per 100,000.
201928.6
202037
202142.7
Three-year change (28.6 to 42.7): +14.1 per 100,000.
County-level estimates are reported at the county level, not the city level. Source: NCHS Drug Poisoning Mortality by County (CDC dataset rpvx-m2md), 2019 to 2021 model-based estimates. NCHS urban/rural classification: Noncore.
Closest methadone clinic to Franklin
Nearest verified opioid treatment program in North Carolina: Cherokee Indian Hospital Authority in Cherokee, about 20.8 miles (33.5 km) from Franklin by straight-line distance. Driving time will run longer.
Why this matters for treatment access
Macon County ran a 2021 drug poisoning death rate of 42.7 per 100,000, well above the national county mean of 28.5. Roughly 18.0% of residents lack health insurance, which is high enough that you should ask each clinic about sliding-scale fees and Medicaid acceptance before you commit. That works out to roughly 760 uninsured residents in Franklin alone.
What to ask before you call
Methadone is a daily-dose program. That changes the questions you should be asking. Run through these before you commit to a clinic:
- What time does dosing start, and what time does it close? Daily methadone often means a 6am window five or six days a week.
- Which insurance plans do you bill? Medicaid coverage for OTPs varies by state plan and managed-care organization.
- How long does intake take from first call to first dose? In some states it is same-day. In others it can run a week.
- What is your take-home schedule? Federal rules let stable patients earn take-home doses over time. Clinic policy on how fast you earn them differs.
- Do you offer counseling on-site or do I coordinate it elsewhere?
If the in-city options do not fit
Closest alternative inside North Carolina: Cherokee Indian Hospital Authority in Cherokee, about 20.8 miles from Franklin. Office-based buprenorphine is also available locally and does not require daily clinic visits.
Nearby cities with methadone clinics
Cherokee (1 · 39.2km) Clyde (1 · 59.8km) Asheville (5 · 92km) Weaverville (1 · 106.3km) Morganton (1 · 170.6km)
Need office-based treatment instead of a daily-dosed OTP? Many providers in Franklin prescribe buprenorphine in office settings. See the North Carolina Suboxone provider directory for the closest prescriber.
Want a non-opioid alternative? See North Carolina Vivitrol providers for monthly extended-release naltrexone.
State-level access scoring, regulatory context, and the full directory live on the North Carolina methadone hub.