NPI age
2 years
Enumerated 2023-09-19
● Active Type 2 · Organization
Shallowford Wellness Center Llc
Shallowford Wellness Center Llc is 1 of 2449 community/behavioral health organizations in Georgia.
Primary specialty
Community/Behavioral Health
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Khan
Ceo
Last NPPES update
2025-08-04
Source: monthly bulk 2026-05
How this organization compares
Across 2449 active community/behavioral health providers in Georgia.
NPI age
2 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 15% of peers with subspecialties
NPI lifetime · 2023 → 2026
2023-09Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
3300 Northeast Expy Ne
Atlanta, GA 303413932
Mailing address
2521 Oak Grove Ests Ne
Atlanta, GA 303457601
Authorized official
Sofia Khan
Ceo
📞 4044356604
Individual providers at this organization
8 individual providers on file at this primary practice address.
- Melissa Baudo, D.P.T. Physical Therapist NPI 1225339641
- Amanda Blackmon, D.P.T. Physical Therapist NPI 1831268176
- James Fox, CO, ATC Specialist/Technologist NPI 1194879031
- Jodi Fox, ATC Specialist/Technologist NPI 1033263975
- Blair Green, M.P.T. Physical Therapist NPI 1336362029
- Andrea Hester, PT Physical Therapist NPI 1841316387
- Savas Koutsantonis, D.P.T. Physical Therapist NPI 1659594596
- Mary Beth Verlander, M.P.T. Physical Therapist NPI 1720393143
Specialties
-
Community/Behavioral Health PrimaryA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
-
Psychiatry & NeurologyA neurologist who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.
-
Psychiatry & NeurologyA Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders...
Practice context
Multi-provider organization. 8 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.