P Praxis·MD
● Active Type 2 · Organization

Jeremy'S Place Inc.

Clinic/Center·Union City, GA· NPI 1447877683 · Enumerated 2020 · 5 years on NPI
Jeremy'S Place Inc. is 1 of 205 clinic/center organizations in Georgia.
NPI age
5 years
Enumerated 2020-07-04
Primary specialty
Clinic/Center
Plus 5 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jackson-Brown
Owner
Last NPPES update
2020-07-04
Source: monthly bulk 2026-05

How this organization compares

Across 205 active clinic/center providers in Georgia.

NPI age
5 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
5
In the 14% of peers with subspecialties

NPI lifetime · 2020 → 2026

2020-07Enumerated in NPPES
2020 2026

Where they practice

Primary practice location
4910 Jonesboro Rd Ste 201
Union City, GA 302912087
📞 7709699334fax 7709699337
Mailing address
4910 Jonesboro Rd Ste 201
Union City, GA 302912087
📞 7709699334fax 7709699337

Authorized official

Lateisha Nichol Jackson-Brown
Owner
📞 7709699334

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QA0600X
  • Clinic/Center
    An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays...
    taxonomy 261QD1600X
  • Day Training, Developmentally Disabled Services
    These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills...
    taxonomy 251C00000X
  • Home Health
    A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language...
    taxonomy 251E00000X
  • In Home Supportive Care
    An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of...
    taxonomy 253Z00000X
  • Non-emergency Medical Transport (VAN)
    A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
    taxonomy 343900000X

Identifiers

TypeValueNotes
05 (GA) 604196354A
05 (GA) 003203627A
05 (GA) 003203627B
05 (GA) 604196354B

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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