P Praxis·MD
● Active Type 2 · Organization

525 Bridgewater Llc.

Technician·Marietta, GA· NPI 1871923144 · Enumerated 2013 · 12 years on NPI
525 Bridgewater Llc. is 1 of 170 technician organizations in Georgia.
NPI age
12 years
Enumerated 2013-11-22
Primary specialty
Technician
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Sheilds
President
Last NPPES update
2013-11-22
Source: monthly bulk 2026-05

How this organization compares

Across 170 active technician providers in Georgia.

NPI age
12 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2013 → 2026

2013-11Enumerated in NPPES
2013 2026

Where they practice

Primary practice location
2478 Wood Meadows Drive
Marietta, GA 30064
📞 7703777773
Mailing address
3233 Warren Creek Drive
Hiram, GA 30141
📞 7703777773

Authorized official

Kenneth P. Sheilds
President
📞 7703777773

Specialties

  • Technician Primary
    An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and...
    taxonomy 3747P1801X

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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