NPI age
— years
Enumerated 2026-02-16
● Active Type 2 · Organization
Ccsd-Pc, Llc
Ccsd-Pc, Llc is 1 of 507 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tidwell
Insurance Manager
Last NPPES update
2026-02-16
Source: monthly bulk 2026-05
How this organization compares
Across 507 active clinic/center providers in Georgia.
NPI age
0 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2026 → 2026
2026-02Enumerated in NPPES
2026
2026
Where they practice
Primary practice location
5075 Peachtree Pkwy Ste 105b
Peachtree Corners, GA 300926506
Mailing address
5075 Peachtree Pkwy Ste 105b
Peachtree Corners, GA 300926506
Authorized official
Donna Tidwell
Insurance Manager
📞 7709951957
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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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.