NPI age
16 years
Enumerated 2010-02-09
● Active Type 2 · Organization
Spectrum Habilitation Service Inc.
Spectrum Habilitation Service Inc. is 1 of 152 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jackson-Smith
Director
Last NPPES update
2010-02-09
Source: monthly bulk 2026-05
How this organization compares
Across 152 active clinic/center providers in Georgia.
NPI age
16 years
≈ at median (15 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-02Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
310 Magnolia Walk Lane
College Park, GA 30349
Mailing address
310 Magnolia Walk Ln
College Park, GA 303494072
Authorized official
Lydia Jackson-Smith
Director
📞 4042762222
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 252549320B |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Spectrum Habilitation Services #A, #B, #C, #D, #E
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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