P Praxis·MD
● Active Type 2 · Organization

Ravens Nest Foundation Inc

Clinic/Center·Austell, GA· NPI 1578867982 · Enumerated 2010 · 15 years on NPI
Ravens Nest Foundation Inc is 1 of 662 clinic/center organizations in Georgia.
NPI age
15 years
Enumerated 2010-12-28
Primary specialty
Clinic/Center
Plus 11 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Green
Ceo
Last NPPES update
2026-01-28
Source: monthly bulk 2026-05

How this organization compares

Across 662 active clinic/center providers in Georgia.

NPI age
15 years
↑ 10 yr above median
Practice locations
1
0 secondary on file
Subspecialties
11
In the 18% of peers with subspecialties

NPI lifetime · 2010 → 2026

2010-12Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
1680 Mulkey Rd Ste 200
Austell, GA 301061364
📞 7708196825fax 7708196826
Mailing address
1680 Mulkey Rd Ste 200
Austell, GA 301061364
📞 7708196825fax 7708196826

Authorized official

Shelby Green
Ceo
📞 7708196825

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QM0801X
  • Case Management
    An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management...
    taxonomy 251B00000X
  • Clinic/Center
    Definition to come...
    taxonomy 261QR0401X
  • Community/Behavioral Health
    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...
    taxonomy 251S00000X
  • Contractor
    For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects...
    taxonomy 171W00000X
  • Counselor
    A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical...
    taxonomy 101Y00000X
  • Counselor
    Definition to come...
    taxonomy 101YA0400X
  • Psychiatry & Neurology
    Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
    taxonomy 2084P0804X
  • Social Worker
    A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and...
    taxonomy 104100000X
  • Specialist
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    taxonomy 174400000X
  • Substance Abuse Rehabilitation Facility
    A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. ...
    taxonomy 3245S0500X
  • Substance Abuse Rehabilitation Facility
    A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
    taxonomy 324500000X

Identifiers

TypeValueNotes
05 (GA) 003261381A

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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