NPI age
16 years
Enumerated 2009-07-15
● Active Type 2 · Organization
Saint Lazarus Behavioral Health Inc.
Saint Lazarus Behavioral Health Inc. is 1 of 89 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Samuel
President
Last NPPES update
2009-07-15
Source: monthly bulk 2026-05
How this organization compares
Across 89 active clinic/center providers in Georgia.
NPI age
16 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 38% of peers with subspecialties
NPI lifetime · 2009 → 2026
2009-07Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
4905 Forsyth Rd
MacOn, GA 312104401
Mailing address
273 Providence Blvd
MacOn, GA 312107565
Authorized official
Samuel Inimbom Samuel, MD
President
📞 8657658224
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Linda Lucas, REGISTERED NURSE Registered Nurse NPI 1619243938
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family...
-
Clinic/CenterAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 712889273A |
Practice context
Multi-provider organization. 1 individual provider 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.