NPI age
9 years
Enumerated 2017-05-08
● Active Type 2 · Organization
Prestige Advanced Healthcare
Prestige Advanced Healthcare is 1 of 655 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Williams
Nurse Practitioner
Last NPPES update
2018-10-18
Source: monthly bulk 2026-05
How this organization compares
Across 655 active clinic/center providers in Georgia.
NPI age
9 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-05Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
102 Main St Ste 204
Lagrange, GA 302403225
Mailing address
43 Brisbane Ct
Newnan, GA 302632370
Authorized official
Cierra Nicole Williams
Nurse Practitioner
📞 4702959981
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1730557752 | NURSE PRACTITIONER |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.