Active NPI
Irie Community Living LLC
- Day Training/Habilitation Specialist
- Fayetteville, GA
National Provider Identifier
1922967017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- Legal business name
- IRIE COMMUNITY LIVING LLC
- Practice address
- 729 S Jeff Davis Dr
Fayetteville, GA 30215-2416 - Phone
- (943) 237-2892
- NPI assigned
- Jan 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keshia Kirtz, LMSW
- Title
- Director
- Phone
- (943) 237-2892
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | Primary |
Addresses
Primary practice location
729 S Jeff Davis Dr
Fayetteville, GA 30215-2416
Mailing address
805 Glynn St S Ste 127
PMB #196
Fayetteville, GA 30214-2077
Phone (943) 237-2892
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Fayetteville, GA
- NPI 1740635374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768694400000",
"number": "1922967017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 GLYNN ST S STE 127",
"address_2": "PMB #196",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302142077",
"telephone_number": "943-237-2892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "729 S JEFF DAVIS DR",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302152416",
"telephone_number": "943-237-2892"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IRIE COMMUNITY LIVING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-15",
"last_updated": "2026-01-18",
"certification_date": "2026-01-18",
"status": "A",
"authorized_official_last_name": "KIRTZ",
"authorized_official_first_name": "KESHIA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "943-237-2892",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "373H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.