NPI age
4 years
Enumerated 2022-01-18
● Active Type 2 · Organization
Providence Imaging, Llc
Providence Imaging, Llc is 1 of 144 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Stokes
Ceo
Last NPPES update
2025-07-30
Source: monthly bulk 2026-05
How this organization compares
Across 144 active clinic/center providers in Georgia.
NPI age
4 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-01Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
1760 Bass Rd Ste 102
MacOn, GA 312101098
Mailing address
5016 Nelly Ln
Tallahassee, FL 323038284
Authorized official
Tonya Stokes
Ceo
📞 8505621656
Individual providers at this organization
10 individual providers on file at this primary practice address.
- Rochelle Drew, BCBA Behavior Analyst NPI 1114423084
- Vinessa Grant Behavior Technician NPI 1518421007
- Rashida Hall Behavior Technician NPI 1447744776
- Bronay Johnson Behavior Technician NPI 1861035529
- Aubrey Moore Behavior Technician NPI 1003379512
- Samantha Pope Behavior Technician NPI 1083178032
- Hannah Rhodes Behavior Technician NPI 1740773001
- India Suggs Behavior Technician NPI 1164983516
- Karen Thomas Behavior Technician NPI 1821557331
- Rachel Wilson Behavior Technician NPI 1215421664
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 10 individual providers on file at this primary address.
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- 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.