NPI age
18 years
Enumerated 2008-01-10
● Active Type 2 · Organization
Enterprise Family Healthcare
Enterprise Family Healthcare is 1 of 655 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Harrelson
Office Manager
Last NPPES update
2008-01-10
Source: monthly bulk 2026-05
How this organization compares
Across 655 active clinic/center providers in Georgia.
NPI age
18 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-01Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
2192 Ingleside Ave
MacOn, GA 312042030
Mailing address
2192 Ingleside Ave
MacOn, GA 312042030
Authorized official
Dana M Harrelson
Office Manager
📞 4787459559
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Crystal Bales, FNP-C Nurse Practitioner NPI 1417481516
- Darl Rantz, M.D. Family Medicine NPI 1215911102
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | GRP4689 | MEDICARE GROUP NUMBER |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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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.