OrganizationActive
Professional Associates Health Care of Georgia
NPI 1225338577 · Community/Behavioral Health Agency · Fayetteville, GA
Provider details
- NPI number
- 1225338577
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Agneau Jean-Simon, Staff(770) 865-5073
- License
- 932102913 (GA)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
310 Ivanhoe Dr
Fayetteville, GA 30215-2041
Phone: (770) 461-9228
Fax: (770) 461-9228
Street-level locationGet directions
Mailing address
316 S 9th St
Griffin, GA 30224-4159
Registry dates
- Enumerated
- 2010-11-02
- Last updated
- 2024-03-14
- Certified
- 2024-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.