NPI age
7 years
Enumerated 2018-12-01
● Active Type 2 · Organization
Inner Self Corp
Inner Self Corp is 1 of 21 prevention professional organizations in Georgia.
Primary specialty
Prevention Professional
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Braswell
Executive Director
Last NPPES update
2018-12-01
Source: monthly bulk 2026-05
How this organization compares
Across 21 active prevention professional providers in Georgia.
NPI age
7 years
≈ at median (6 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 14% of peers with subspecialties
NPI lifetime · 2018 → 2026
2018-12Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
502 Eastwood Village Dr
Stockbridge, GA 302817759
Mailing address
Po Box 633
Stockbridge, GA 302810633
Authorized official
Tawanda Braswell
Executive Director
📞 4047208185
Specialties
-
Prevention Professional PrimaryPrevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the...
-
Case Manager/Care CoordinatorA person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan...
Practice context
Single-site organization. Only one practice location on file.
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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.