P Praxis·MD
● Active Type 2 · Organization

Bioserenity Dt Inc.

Clinic/Center·Atlanta, GA· NPI 1992826689 · Enumerated 2007 · 19 years on NPI
Bioserenity Dt Inc. is 1 of 125 clinic/center organizations in Georgia.
NPI age
19 years
Enumerated 2007-04-02
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Shock
Evp Clinical Operations
Last NPPES update
2022-10-12
Source: monthly bulk 2026-05

How this organization compares

Across 125 active clinic/center providers in Georgia.

NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-04Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
2675 Paces Ferry Rd Se Ste 150
Atlanta, GA 303394099
📞 7708280052
Mailing address
99 Rosewood Dr Ste 245
Danvers, MA 019234537
📞 9785367400fax 9785359778

Authorized official

Janice Shock
Evp Clinical Operations
📞 2145323757

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QS1200X

Identifiers

TypeValueNotes
01 (GA) 1640523 UNITED HEALTHCARE
01 (GA) 470001550 RR MEDICARE

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Digitrace Care Services, Inc.
    Type code 4 recorded 2021-10-05

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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