P Praxis·MD
● Active Type 2 · Organization

Providence Healthcare Of Georgia

Registered Nurse·Mableton, GA· NPI 1720618077 · Enumerated 2020 · 6 years on NPI
Providence Healthcare Of Georgia is 1 of 243 registered nurse organizations in Georgia.
NPI age
6 years
Enumerated 2020-01-24
Primary specialty
Registered Nurse
Plus 5 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Speller
Administrator
Last NPPES update
2025-09-26
Source: monthly bulk 2026-05

How this organization compares

Across 243 active registered nurse providers in Georgia.

NPI age
6 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
5
In the 23% of peers with subspecialties

NPI lifetime · 2020 → 2026

2020-01Enumerated in NPPES
2020 2026

Where they practice

Primary practice location
6509 Bennington Bluff Ct
Mableton, GA 301267269
📞 4044088703
Mailing address
6509 Bennington Bluff Ct
Mableton, GA 301267269

Authorized official

Neiya Speller
Administrator
📞 6316786889

Specialties

  • Registered Nurse Primary
    Definition to come...
    taxonomy 163WH0200X
  • 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
  • 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
  • Home Health
    A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language...
    taxonomy 251E00000X
  • In Home Supportive Care
    An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of...
    taxonomy 253Z00000X
  • Nursing Care
    A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of...
    taxonomy 251J00000X

Other names on file (1)

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

  • PHG Healthcare
    Type code 3 recorded 2020-01-24

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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