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NPI 1093191389 · Preferred Provider Organization · Smyrna, GA
Provider details
- NPI number
- 1093191389
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Shenithia Arnold, Licensed Professional Counselore(678) 744-6965
- License
- LPC007831 (GA)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4015 South Cobb Drive
Smyrna, GA 30080
Phone: (678) 744-6965
Street-level locationGet directions
Mailing address
8275 Eastshore Dr
Union, GA 30291
Registry dates
- Enumerated
- 2015-08-10
- Last updated
- 2015-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.