P Praxis·MD
● Active Type 2 · Organization

Parkside Homes

Custodial Care Facility·Moultrie, GA· NPI 1457783094 · Enumerated 2013 · 12 years on NPI
Parkside Homes is 1 of 40 custodial care facility organizations in Georgia.
NPI age
12 years
Enumerated 2013-08-06
Primary specialty
Custodial Care Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Smith
Owner
Last NPPES update
2013-08-06
Source: monthly bulk 2026-05

How this organization compares

Across 40 active custodial care facility providers in Georgia.

NPI age
12 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2013 → 2026

2013-08Enumerated in NPPES
2013 2026

Where they practice

Primary practice location
119 4th St Sw
Moultrie, GA 317684547
📞 2297980170
Mailing address
Po Box 2132
Moultrie, GA 317762132
📞 2297980170

Authorized official

Wayland Smith Smith, RN
Owner
📞 2297980170

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Custodial Care Facility Primary
    A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets,...
    taxonomy 311Z00000X

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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