NPI age
— years
Enumerated 2025-06-09
● Active Type 2 · Organization
Mudaris Healthcare Llc
Mudaris Healthcare Llc is 1 of 644 nursing care organizations in Georgia.
Primary specialty
Nursing Care
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Derricotte
Director
Last NPPES update
2025-06-09
Source: monthly bulk 2026-05
How this organization compares
Across 644 active nursing care providers in Georgia.
NPI age
0 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2025 → 2026
2025-06Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
4590 Valley Pkwy Se Apt E
Smyrna, GA 300824981
Mailing address
1300 Ridenour Blvd Nw Ste 100
Kennesaw, GA 301524528
Authorized official
Andre Derricotte
Director
📞 6464203010
Specialties
-
Nursing Care PrimaryA Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of...
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 →
- 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.