P Praxis·MD
● Active Type 2 · Organization

Healthqwest Frontiers Llc

Clinic/Center·MacOn, GA· NPI 1043631476 · Enumerated 2014 · 12 years on NPI
Healthqwest Frontiers Llc is 1 of 59 clinic/center organizations in Georgia.
NPI age
12 years
Enumerated 2014-01-03
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tanis
Executive Director Of Contract Mgmt
Last NPPES update
2024-03-04
Source: monthly bulk 2026-05

How this organization compares

Across 59 active clinic/center providers in Georgia.

NPI age
12 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 45% of peers with subspecialties

NPI lifetime · 2014 → 2026

2014-01Enumerated in NPPES
2014 2026

Where they practice

Primary practice location
890 Northwoods Plaza
MacOn, GA 312041441
📞 4783307164
Mailing address
1317 Route 73 Ste 200
Mount Laurel, NJ 080542202
📞 8564396111

Authorized official

Robyn Tanis
Executive Director Of Contract Mgmt
📞 8565338762

Individual providers at this organization

7 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
    GA license #NTP001074 taxonomy 261QM2800X
  • Clinic/Center
    Definition to come...
    taxonomy 261QR0800X

Practice context

Multi-provider organization. 7 individual providers on file at this primary address.

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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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