NPI age
10 years
Enumerated 2015-06-18
● Active Type 2 · Organization
Fidelity Health Care Group, Llc
Fidelity Health Care Group, Llc is 1 of 730 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Glenn
Medical Director
Last NPPES update
2024-01-13
Source: monthly bulk 2026-05
How this organization compares
Across 730 active clinic/center providers in Georgia.
NPI age
10 years
≈ at median (9 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 14% of peers with subspecialties
NPI lifetime · 2015 → 2026
2015-06Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
950 Eagles Landing Pkwy, # 152
Stockbridge, GA 302817343
Mailing address
950 Eagles Landing Pkwy, # 152
Stockbridge, GA 302817343
Authorized official
John A Glenn, MD
Medical Director
📞 4782908509
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Charla Johnson, PA-C Physician Assistant NPI 1033218581
- Carla Judah, MBA Home Health NPI 1063644078
- Connie Young-Gibraltarik, MED, MA, LPC Counselor NPI 1083153142
Specialties
-
Clinic/Center PrimaryA facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
-
CounselorDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1194765420 | NPI |
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.