P Praxis·MD
● Active Type 2 · Organization

Little P.c.

Clinic/Center·Marietta, GA· NPI 1376053710 · Enumerated 2017 · 8 years on NPI
Little P.c. is 1 of 507 clinic/center organizations in Georgia.
NPI age
8 years
Enumerated 2017-10-11
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tucker
Director Of Insurance
Last NPPES update
2017-12-08
Source: monthly bulk 2026-05

How this organization compares

Across 507 active clinic/center providers in Georgia.

NPI age
8 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2017 → 2026

2017-10Enumerated in NPPES
2017 2026

Where they practice

Primary practice location
2100 Roswell Rd Ste 1108
Marietta, GA 300620883
📞 6784015089fax 8646705285
Mailing address
4921 Centre Pointe Dr Ste 201
North Charleston, SC 294186997
📞 8439909998fax 8646705285

Authorized official

Monique Tucker
Director Of Insurance
📞 8439909998

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QD0000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • East Lake Dental Home
    Type code 3 recorded 2017-12-08

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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