P Praxis·MD
● Active Type 2 · Organization

Fresh Heads Savannah, Llc

Clinic/Center·Pooler, GA· NPI 1811459258 · Enumerated 2019 · 7 years on NPI
Fresh Heads Savannah, Llc is 1 of 730 clinic/center organizations in Georgia.
NPI age
7 years
Enumerated 2019-04-04
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ottesen
Owner
Last NPPES update
2019-04-04
Source: monthly bulk 2026-05

How this organization compares

Across 730 active clinic/center providers in Georgia.

NPI age
7 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2019 → 2026

2019-04Enumerated in NPPES
2019 2026

Where they practice

Primary practice location
1000 Us Highway 80 W
Pooler, GA 313222114
📞 9125594011
Mailing address
653 Lake Stone Cir
Ponte Vedra Beach, FL 320824342
📞 9042353157

Authorized official

Whitney Manda Ottesen
Owner
📞 9042353157

Specialties

  • Clinic/Center Primary
    A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
    taxonomy 261Q00000X

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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