P Praxis·MD
● Active Type 2 · Organization

Med Therapeutic Skin Care Day Spa

Exclusive Provider Organization·Norcross, GA· NPI 1568808731 · Enumerated 2013 · 13 years on NPI
Med Therapeutic Skin Care Day Spa is 1 of 62 exclusive provider organization organizations in Georgia.
NPI age
13 years
Enumerated 2013-05-15
Primary specialty
Exclusive Provider Organization
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mosquera
Owner
Last NPPES update
2013-05-15
Source: monthly bulk 2026-05

How this organization compares

Across 62 active exclusive provider organization providers in Georgia.

NPI age
13 years
≈ at median (12 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 9% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-05Enumerated in NPPES
2013 2026

Where they practice

Primary practice location
5344 Jimmy Carter Blvd, 1 C
Norcross, GA 300931516
📞 7708490206fax 7708490206
Mailing address
5344 Jimmy Carter Blvd, 1 C
Norcross, GA 300931516
📞 7708490206fax 7708490206

Authorized official

Lidia Mosquera, LPG
Owner
📞 7708490206

Specialties

  • Exclusive Provider Organization Primary
    (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or...
    GA license #2013005065 taxonomy 302F00000X
  • Clinic/Center
    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
    GA license #2013005065 taxonomy 261QM0850X

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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