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NPI 1184884678
● Active Type 2 · Organization
Palmetto Health Council Inc
Clinic/Center · Palmetto, GA · NPI 1184884678
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Enumerated 2008 · 17 years on NPI
Palmetto Health Council Inc is 1 of 462 clinic/center organizations in Georgia.
NPI age
17 years
Enumerated 2008-06-10
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Brown
Chief Executive Officer
Last NPPES update
2025-05-14
Source: monthly bulk 2026-05
How this organization compares
Across 462 active clinic/center providers in Georgia.
NPI age
17 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 12% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-06 Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
643 Main St
Palmetto, GA 302681138
📞 7704634644 fax 7704639885
Mailing address
643 Main St
Palmetto, GA 302681138
📞 4049298824 fax 4049299769
Authorized official
Tara Brown, DMD
Chief Executive Officer
📞 4049298824
Individual providers at this organization
14 individual providers on file at this primary practice address.
Adam Barefoot , D.M.D.
Dentist
NPI 1447561501
Tara Brown , D.M.D.
Dentist
NPI 1982059143
Nasser Fiqia , DMD
Dentist
NPI 1942424221
Ashleigh Heath , NP
Nurse Practitioner
NPI 1699167684
Marion Hood , MD
Obstetrics & Gynecology
NPI 1467451724
Milanieva Latorre , MD
Family Medicine
NPI 1609944917
Haley Leatherbarrow , DDS
Dentist
NPI 1336886878
Frederick Moore , DMD
Dentist
NPI 1215157060
Gabriela Pena , M.D.
Family Medicine
NPI 1528322922
Isabel Soles , PA
Physician Assistant
NPI 1699843953
Hector Viera , DMD
Dentist
NPI 1750388906
Kim Willard Jelks , MD
Family Medicine
NPI 1639127590
Haley Williams , DNP, APRN, FNP-C
Nurse Practitioner
NPI 1982595815
Joanne Williams , MD, MPH
Family Medicine
NPI 1437251923
Specialties
Clinic/Center
Primary
Definition to come...
GA license #H800040 taxonomy 261QF0400X
Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
GA license #H800040 taxonomy 207Q00000X
Identifiers
Type Value Notes
05 (GA)
000472128A
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
14 individual providers on file at this primary address.
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How to verify this organization
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.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.