P Praxis·MD
● Active Type 2 · Organization

Magnolia Gardens Pch, Inc

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities·Stone Mountain, GA· NPI 1912138454 · Enumerated 2009 · 16 years on NPI
Magnolia Gardens Pch, Inc is 1 of 300 community based residential treatment facility, intellectual and/or developmental disabilities organizations in Georgia.
NPI age
16 years
Enumerated 2009-07-31
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
Cargill
Director
Last NPPES update
2010-03-12
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
16 years
≈ at median (15 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 14% of peers with subspecialties

NPI lifetime · 2009 → 2026

2009-07Enumerated in NPPES
2009 2026

Where they practice

Primary practice location
5348 Kelleys Creek Dr
Stone Mountain, GA 300883827
📞 7704698925fax 7704698925
Mailing address
Po Box 684
Lovejoy, GA 302500684
📞 7704698925fax 7704698925

Authorized official

Teri D. Cargill
Director
📞 6786970575

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
  • Community/Behavioral Health
    A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
    taxonomy 251S00000X

Identifiers

TypeValueNotes
05 (GA) 256949895B

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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