NPI age
— years
Enumerated 2026-05-01
● Active Type 2 · Organization
Eternal Ivy Foundation Inc.
Eternal Ivy Foundation Inc. is 1 of 662 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Williams
Owner
Last NPPES update
2026-05-01
Source: monthly bulk 2026-05
How this organization compares
Across 662 active clinic/center providers in Georgia.
NPI age
0 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 18% of peers with subspecialties
NPI lifetime · 2026 → 2026
2026-05Enumerated in NPPES
2026
2026
Where they practice
Primary practice location
6000 Stewart Pkwy Unit 5646
Douglasville, GA 301541109
Mailing address
6000 Stewart Pkwy Unit 5646
Douglasville, GA 301541109
Authorized official
Djuan Williams
Owner
📞 4049198836
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Clinic/CenterDefinition to come...
-
Community Based Residential Treatment Facility, Mental IllnessA home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Practice context
Single-site organization. Only one practice location on file.
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Request a quote →How to verify this organization
- 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.