Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952862286 Individual Practitioner Female Practitioner

Kaneisha Mack , CPS-WH

Peer Specialist • Lagrange, GA

Professional Overview & Biography Verified Profile Summary

Kaneisha Mack, CPS-WH is a registered healthcare professional specializing in Peer Specialist in Lagrange, GA. Practice services are available at 122 GORDON COMMERCIAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

122 Gordon Commercial Dr

Lagrange, GA 302405754

Telephone 7068454054
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Lagrange, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Lagrange, GA (113 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
Martha Earley , LPC

Counselor - Professional

NPI 1013347426

Licensed Professional Counselor

Zenetta Harris , LPN

Licensed Practical Nurse

NPI 1033755475

Licensed Practical Nurse

Ktonya Dunlap , LPN

Licensed Practical Nurse

NPI 1063758308

Licensed Practical Nurse

Claire Smith , RN

Registered Nurse

NPI 1063784668

Registered Nurse

Melanie Weathington

Licensed Practical Nurse

NPI 1073171799
Jennie Laplant

Counselor - Mental Health

NPI 1134770274

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 28, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2019

Registered at 122 GORDON COMMERCIAL DR, LAGRANGE, GA 302405754 (Tel: 7068454054)

📍
Updated Business Mailing Address March 28, 2019

Registered at 122 GORDON COMMERCIAL DR, LAGRANGE, GA 302405754

👤
Provider Name / Credentials Updated March 28, 2019

Recorded as KANEISHA MACK, CPS-WH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2019

Peer Specialist

🟢
Initial NPI Registration & Enumeration March 28, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952862286
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2019
Last Update: March 28, 2019
Sole Proprietor: Yes

Mailing Address

122 Gordon Commercial Dr

Lagrange, GA 302405754

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.