NPI age
19 years
Enumerated 2006-10-24
● Active Type 2 · Organization
Lawrence Joel Army Health Clinic
Lawrence Joel Army Health Clinic is 1 of 2 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Agnew
Staff Pharmacist
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 2 active clinic/center providers in Georgia.
NPI age
19 years
↑ 1 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1701 Hardee Ave
Ft McPherson, GA 30330
Mailing address
2156 Spink St Nw
Atlanta, GA 303181154
Authorized official
Carmen Rakestraw Agnew, RPH
Staff Pharmacist
📞 4044640304
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Regina Burns, LPN Licensed Practical Nurse NPI 1699982363
Specialties
-
Clinic/Center Primary"Non-fixed" facilities or distinct parts of a "non-fixed" facility, providing outpatient medical and dental services, primarily intended for DoD active duty. The entity is funded with other than Defense Health Program funding. Non-DoD...
Practice context
Multi-provider organization. 1 individual provider 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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.