Mazie Douglas

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

1918 Panola Rd
Lithonia, GA 30058-5520

Phone

(404) 597-2203

NPI assigned

Feb 8, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rejuvenate N Eden, Inc

  • Assisted Living Facility
  • Lithonia, GA
  • NPI 1003730029
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1124882428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 PANOLA RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585520",
            "telephone_number": "404-597-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 PANOLA RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585520",
            "telephone_number": "404-597-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "MAZIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin A Dixon, D.O.
• DJ Tiny Riderwheels
• Roxann Dooling, CPT, CCMA, CMA, CNA
• Nathalie Dorleans Ellis, L.P.C.
• Douglas R Brown DDS PA
• Shaquana Janeisha Douglas, HAIR LOSS SPECIALIST
• Deshanda Dow- Ester, LPC
• Queen Downing
• DPM Brissett Nrga LLC
• Dr. Angelica Dempsey, LLC

• Home Health Agency in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.