OrganizationActive
Reinvent Your Identity,llc
NPI 1235871013 · Clinic/Center · Mcdonough, GA
Provider details
- NPI number
- 1235871013
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Abidemi Marsh, Owner(404) 644-4198
Specialties & taxonomies
Ambulatory Health Care Facilities
- Corporate Health Clinic/Center261QC1800X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Student Health Clinic/Center261QS1000X
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
4403 Kady Ct
Mcdonough, GA 30252-3700
Phone: (404) 644-4198
Street-level locationGet directions
Mailing address
4403 Kady Ct
Mcdonough, GA 30252-3700
Registry dates
- Enumerated
- 2022-04-11
- Last updated
- 2022-04-11
- Certified
- 2022-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.