P Praxis·MD
● Active Type 2 · Organization

Chauncy Montgomery

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities·Vidalia, GA· NPI 1790094241 · Enumerated 2010 · 15 years on NPI
Chauncy Montgomery is 1 of 300 community based residential treatment facility, intellectual and/or developmental disabilities organizations in Georgia.
NPI age
15 years
Enumerated 2010-10-01
Primary specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Montgomery
Owner/director
Last NPPES update
2010-10-01
Source: monthly bulk 2026-05

How this organization compares

Across 300 active community based residential treatment facility, intellectual and/or developmental disabilities providers in Georgia.

NPI age
15 years
≈ at median (15 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 14% of peers with subspecialties

NPI lifetime · 2010 → 2026

2010-10Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
1114 JR Rollins Rd
Vidalia, GA 304749462
📞 9125374143fax 9125374143
Mailing address
1114 JR Rollins Rd
Vidalia, GA 304749462
📞 9125374143fax 9125374143

Authorized official

Chauncy Denette Montgomery
Owner/director
📞 9123472399

Specialties

  • Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Primary
    A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
    taxonomy 320900000X
  • Respite Care
    Definition to come.
    taxonomy 385H00000X

Other names on file (1)

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

  • The Secret Place
    Type code 3 recorded 2010-10-01

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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