P Praxis·MD
● Active Type 2 · Organization

Elite IV Hydration And Wellness

Clinic/Center·McDonough, GA· NPI 1730843202 · Enumerated 2021 · 4 years on NPI
Elite IV Hydration And Wellness is 1 of 730 clinic/center organizations in Georgia.
NPI age
4 years
Enumerated 2021-10-29
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Powell
Nurse Practitioner/owner
Last NPPES update
2023-06-30
Source: monthly bulk 2026-05

How this organization compares

Across 730 active clinic/center providers in Georgia.

NPI age
4 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 14% of peers with subspecialties

NPI lifetime · 2021 → 2026

2021-10Enumerated in NPPES
2021 2026

Where they practice

Primary practice location
823 Pavilion Ct
McDonough, GA 302536666
📞 4049655715
Mailing address
5916 East Lake Pkwy, Suite 324
McDonough, GA 30253
📞 7063994601

Authorized official

Tanika Ramsey Powell, DND, APRN, NP-C
Nurse Practitioner/owner
📞 7063994601

Specialties

  • Clinic/Center Primary
    A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
    taxonomy 261Q00000X
  • Clinical Medical Laboratory
    (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human...
    taxonomy 291U00000X

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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