OrganizationActive
Prestige Advanced Healthcare
NPI 1942736160 · Primary Care Clinic/Center · Lagrange, GA
Provider details
- NPI number
- 1942736160
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cierra Williams, Nurse Practitioner(470) 295-9981
- License
- 233631 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
102 Main St Ste 204
Lagrange, GA 30240-3225
Phone: (706) 756-5317
Fax: (844) 740-1379
Street-level locationGet directions
Mailing address
43 Brisbane Ct
Newnan, GA 30263-2370
Registry dates
- Enumerated
- 2017-05-08
- Last updated
- 2018-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.