P Praxis·MD
● Active Type 1 · Individual

Theresa Patterson

Custodial Care Facility·Valdosta, GA· NPI 1194568188 · Enumerated 2024 · 1 years on NPI
Patterson is 1 of 3 custodial care facility providers in Valdosta and 1 of 176 in Georgia.
NPI age
1 years
Enumerated 2024-06-17
Primary specialty
Custodial Care Facility
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-06-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 176 active custodial care facility providers in Georgia.

NPI age
1 years
↓ 8 yr below median (9 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-06Enumerated in NPPES
2024 2026

Where they practice

Practice location
4664 Vienna Church Rd
Valdosta, GA 316055524
📞 2293338028
Mailing address
4664 Vienna Church Rd
Valdosta, GA 316055524
📞 2293338028

Specialties

  • Custodial Care Facility Primary
    A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in...
    GA license #PCH008346 taxonomy 311ZA0620X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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