● Active Type 1 · Individual

Kowanda Tenkapowom

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities·Augusta, GA· NPI 1316212749 · Enumerated 2012 · 14 years on NPI

Tenkapowom is 1 of 16 community based residential treatment facility, intellectual and/or developmental disabilities providers in Augusta and 1 of 300 in Georgia.

NPI age

14 years

Enumerated 2012-03-19

Primary specialty

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Plus 1 subspecialty

Licensed in

—

0 states

Status

Active

No deactivations on record

Last NPPES update

2012-03-19

Source: monthly bulk 2026-05

Sole proprietor

Yes

Solo practice on file

How this provider compares

Across 300 active community based residential treatment facility, intellectual and/or developmental disabilities providers in Georgia.

NPI age

14 years

≈ at median (15 yr)

State licenses

1 state

0% of peers hold multiple states

Subspecialties

In the 14% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-03Enumerated in NPPES

2012 2026

Where they practice

Practice location

3421 Mike Padgett Hwy

Augusta, GA 309063815

📞 7064327893fax 7064323780

Mailing address

3347 Ravenwood Dr

Augusta, GA 309073574

📞 7064327893fax 7064323780

Specialties

Residential Treatment Facilities › Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Primary

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

taxonomy 320900000X
Psychologist

Definition to come...

taxonomy 103TM1800X

Identifiers

Type	Value	Notes
05 (GA)	000606317B

Practice context

Part of a multi-provider practice. 184 other active providers share this practice address in NPPES.

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How to verify this provider

Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
Check the state license is currently active.State licensing boards publish current status; NPPES does not.
Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.