P Praxis·MD
● Active Type 2 · Organization

Angels Corner Ll

Clinic/Center·MacOn, GA· NPI 1679856629 · Enumerated 2011 · 14 years on NPI
Angels Corner Ll is 1 of 247 clinic/center organizations in Georgia.
NPI age
14 years
Enumerated 2011-09-27
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mims
Owner
Last NPPES update
2011-09-27
Source: monthly bulk 2026-05

How this organization compares

Across 247 active clinic/center providers in Georgia.

NPI age
14 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 32% of peers with subspecialties

NPI lifetime · 2011 → 2026

2011-09Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
279 Hampton Rd S
MacOn, GA 312178536
📞 4787507747fax 4787507747
Mailing address
279 Hampton Rd S
MacOn, GA 312178536
📞 4787507747fax 4787507747

Authorized official

Joanne B Mims, COUNSELOR
Owner
📞 4787507747

Specialties

  • Clinic/Center Primary
    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 #25896382 taxonomy 261QM0850X
  • Custodial Care Facility
    A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in...
    taxonomy 311ZA0620X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Angels Corner l
    Type code 3 recorded 2011-09-27

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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