P Praxis·MD
● Active Type 2 · Organization

St. Mary'S Independent Living Extensions

Day Training, Developmentally Disabled Services·Lawrenceville, GA· NPI 1033506712 · Enumerated 2015 · 11 years on NPI
St. Mary'S Independent Living Extensions is 1 of 332 day training, developmentally disabled services organizations in Georgia.
NPI age
11 years
Enumerated 2015-04-21
Primary specialty
Day Training, Developmentally Disabled Services
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Pieper
Executive Director
Last NPPES update
2015-04-21
Source: monthly bulk 2026-05

How this organization compares

Across 332 active day training, developmentally disabled services providers in Georgia.

NPI age
11 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2015 → 2026

2015-04Enumerated in NPPES
2015 2026

Where they practice

Primary practice location
120 Gloster Rd Nw Ste 3
Lawrenceville, GA 300444479
📞 7702795115fax 7709232059
Mailing address
120 Gloster Rd Nw Ste 3
Lawrenceville, GA 300444479
📞 7702795115fax 7709232059

Authorized official

Paul Pieper
Executive Director
📞 7702795115

Specialties

  • Day Training, Developmentally Disabled Services Primary
    These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills...
    GA license #067-R-0388 taxonomy 251C00000X

Identifiers

TypeValueNotes
05 (GA) 779876528B
05 (GA) 779876528A

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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