NPI age
6 years
Enumerated 2019-12-03
● Active Type 2 · Organization
Mobile Mini Clinic
Mobile Mini Clinic 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
Demby
Ceo
Last NPPES update
2020-07-13
Source: monthly bulk 2026-05
How this organization compares
Across 730 active clinic/center providers in Georgia.
NPI age
6 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 14% of peers with subspecialties
NPI lifetime · 2019 → 2026
2019-12Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
2225 Prickly Pear Walk
Lawrenceville, GA 300436344
Mailing address
2225 Prickly Pear Walk
Lawrenceville, GA 300436344
Authorized official
Taheerah Demby, FNP
Ceo
📞 4702071866
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Taheerah Demby, FNP Nurse Practitioner NPI 1306962436
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...
-
Clinic/CenterDefinition to come...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Provyx · Custom healthcare lists
Need all 730 Clinic/Center providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →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.