P Praxis·MD
● Active Type 2 · Organization

Cassandra Gilliam

Intermediate Care Facility, Mental Illness·Decatur, GA· NPI 1760609895 · Enumerated 2007 · 19 years on NPI
Cassandra Gilliam is 1 of 8 intermediate care facility, mental illness organizations in Georgia.
NPI age
19 years
Enumerated 2007-04-19
Primary specialty
Intermediate Care Facility, Mental Illness
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gilliam
RN
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 8 active intermediate care facility, mental illness providers in Georgia.

NPI age
19 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-04Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
450 Winn Way
Decatur, GA 300301715
📞 4042940499
Mailing address
3850 Eden Glen Dr Se
Conyers, GA 300135813
📞 7706794366

Authorized official

Cassandra Shea Gilliam, RN
RN
📞 4042940499

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Intermediate Care Facility, Mental Illness Primary
    A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
    GA license #RN171251 taxonomy 310500000X

Other names on file (1)

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

  • none
    Type code 5 recorded 2007-04-19

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

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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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