P Praxis·MD
● Active Type 2 · Organization

Predestined For Greatness

Residential Treatment Facility, Emotionally Disturbed Children·Ellenwood, GA· NPI 1154537181 · Enumerated 2007 · 19 years on NPI
Predestined For Greatness is 1 of 33 residential treatment facility, emotionally disturbed children organizations in Georgia.
NPI age
19 years
Enumerated 2007-05-15
Primary specialty
Residential Treatment Facility, Emotionally Disturbed Children
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Thomas
Ceo
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 33 active residential treatment facility, emotionally disturbed children providers in Georgia.

NPI age
19 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
4865 Brookstone Pkwy
Ellenwood, GA 302942126
📞 7703209278
Mailing address
4865 Brookstone Pkwy
Ellenwood, GA 302942126
📞 7703209278

Authorized official

Dion Thomas
Ceo
📞 7703209278

Specialties

  • Residential Treatment Facility, Emotionally Disturbed Children Primary
    A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
    GA license #CCI001578 taxonomy 322D00000X

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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