P Praxis·MD
● Active Type 2 · Organization

Reinvent Your Identity,llc

Clinic/Center·McDonough, GA· NPI 1235871013 · Enumerated 2022 · 4 years on NPI
Reinvent Your Identity,llc is 1 of 730 clinic/center organizations in Georgia.
NPI age
4 years
Enumerated 2022-04-11
Primary specialty
Clinic/Center
Plus 3 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Marsh
Owner
Last NPPES update
2022-04-11
Source: monthly bulk 2026-05

How this organization compares

Across 730 active clinic/center providers in Georgia.

NPI age
4 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
3
In the 14% of peers with subspecialties

NPI lifetime · 2022 → 2026

2022-04Enumerated in NPPES
2022 2026

Where they practice

Primary practice location
4403 Kady Ct
McDonough, GA 302523700
📞 4046444198
Mailing address
4403 Kady Ct
McDonough, GA 302523700

Authorized official

Abidemi Marsh
Owner
📞 4046444198

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    A 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...
    taxonomy 261Q00000X
  • Clinic/Center
    Definition to come...
    taxonomy 261QC1800X
  • Clinic/Center
    Definition to come...
    taxonomy 261QM0801X
  • Clinic/Center
    Definition to come...
    taxonomy 261QS1000X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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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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