P Praxis·MD
● Active Type 2 · Organization

Providence Care Inc

Community/Behavioral Health·Fairburn, GA· NPI 1376805630 · Enumerated 2012 · 13 years on NPI
Providence Care Inc is 1 of 2449 community/behavioral health organizations in Georgia.
NPI age
13 years
Enumerated 2012-06-13
Primary specialty
Community/Behavioral Health
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Okpala
Director/owner
Last NPPES update
2012-06-13
Source: monthly bulk 2026-05

How this organization compares

Across 2449 active community/behavioral health providers in Georgia.

NPI age
13 years
≈ at median (13 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2012 → 2026

2012-06Enumerated in NPPES
2012 2026

Where they practice

Primary practice location
216 Nw Broad St Ste B
Fairburn, GA 302134106
📞 6784892069fax 6784898627
Mailing address
216 Nw Broad St Ste B
Fairburn, GA 302134106
📞 6784892069fax 6784898627

Authorized official

Stella Ngozi Okpala, PHARM.D
Director/owner
📞 4049317854

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Community/Behavioral Health Primary
    A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
    GA license #060-R-1019 taxonomy 251S00000X

Other names on file (1)

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

  • providence private care home and providence community living arrangem
    Type code 4 recorded 2012-06-13

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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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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