NPI age
7 years
Enumerated 2018-06-20
● Active Type 2 · Organization
Subpart
Atl Sport
Atl Sport is 1 of 2449 community/behavioral health organizations in Georgia.
Primary specialty
Community/Behavioral Health
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Alexander
License Professional Couseler
Last NPPES update
2018-06-20
Source: monthly bulk 2026-05
How this organization compares
Across 2449 active community/behavioral health providers in Georgia.
NPI age
7 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2026
2018-06Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
5376 Jonesboro Rd
Lake City, GA 30260
Mailing address
5376 Jonesboro Rd
Lake City, GA 302603557
Authorized official
Kimberly D Alexander, LPC, MBA, MAMFT, NCC
License Professional Couseler
📞 4046256262
Specialties
-
Community/Behavioral Health PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 1396092912 | NPPES |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
F3
-
F3
Practice context
Single-site organization. Only one practice location on file.
Subpart of Fit Mind, Fit Body, Fit Soul.
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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.