OrganizationActive
Macklander, LLC
NPI 1801134739 · Developmental Disabilities Clinic/Center · Grovetown, GA
Provider details
- NPI number
- 1801134739
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Macklander, LLC
- Organization subpart
- Yes
- Authorized official
- Shelley Mack, Administrator(706) 854-0555
- License
- 036-R-0525 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Agencies
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
1514 Baldwin Lakes Dr
Grovetown, GA 30813-5887
Phone: (706) 854-0555
Fax: (706) 651-9677
Street-level locationGet directions
Mailing address
1514 Baldwin Lakes Dr
Grovetown, GA 30813-5887
Other names (DBA / former)
- Doing business as
- Macksimum Alliance
Registry dates
- Enumerated
- 2013-01-28
- Last updated
- 2013-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.