NPI age
13 years
Enumerated 2013-01-28
● Active Type 2 · Organization
Subpart
MacKlander, Llc
MacKlander, Llc is 1 of 75 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
MacK
Administrator
Last NPPES update
2013-01-28
Source: monthly bulk 2026-05
How this organization compares
Across 75 active clinic/center providers in Georgia.
NPI age
13 years
≈ at median (14 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 14% of peers with subspecialties
NPI lifetime · 2013 → 2026
2013-01Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
1514 Baldwin Lakes Dr
Grovetown, GA 308135887
Mailing address
1514 Baldwin Lakes Dr
Grovetown, GA 308135887
Authorized official
Shelley Diane MacK
Administrator
📞 7068540555
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Shelley MacK Chore Provider NPI 1134435092
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays...
-
Nursing CareA Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 366878280B | |
| 05 (GA) | 366878280A |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Macksimum Alliance
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of MacKlander, Llc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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