P Praxis·MD
● Active Type 2 · Organization

Mount Eagles Wings Inc

Clinic/Center·Martinez, GA· NPI 1104182864 · Enumerated 2012 · 14 years on NPI
Mount Eagles Wings Inc is 1 of 75 clinic/center organizations in Georgia.
NPI age
14 years
Enumerated 2012-04-07
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Reese
Ceo/administrator
Last NPPES update
2012-04-07
Source: monthly bulk 2026-05

How this organization compares

Across 75 active clinic/center providers in Georgia.

NPI age
14 years
≈ at median (14 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2012 → 2026

2012-04Enumerated in NPPES
2012 2026

Where they practice

Primary practice location
4027 Prescott Dr
Martinez, GA 309074308
📞 7062849959
Mailing address
4027 Prescott Dr
Martinez, GA 309074308
📞 7062849959

Authorized official

Venna Sharell Reese, HEATHCARE PROVIDER
Ceo/administrator
📞 7062849959

Individual providers at this organization

1 individual provider on file at this primary practice address.

  • Venna Reese, HEALTH PROFESSION Clinic/Center NPI 1659607661

Specialties

  • Clinic/Center Primary
    An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays...
    taxonomy 261QD1600X

Practice context

Multi-provider organization. 1 individual provider 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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