Eternal Ivy Foundation Inc. - Primary Care in Douglasville, GA

Eternal Ivy Foundation Inc. is a primary clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Douglasville, Georgia. The current practice location for Eternal Ivy Foundation Inc. is 6000 Stewart Pkwy Unit 5646, Douglasville, Georgia. For appointments, you can reach them via phone at (404) 919-8836. The mailing address for Eternal Ivy Foundation Inc. is 6000 Stewart Pkwy Unit 5646, Douglasville, Georgia and phone number is () -.

Eternal Ivy Foundation Inc. is licensed to practice in * (Not Available) (license number ) and its NPI number is 1306783865. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (404) 919-8836.

Contact Information

Eternal Ivy Foundation Inc.
6000 Stewart Pkwy Unit 5646
Douglasville
GA 30154-1109
(404) 919-8836
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameEternal Ivy Foundation Inc.
SpecialityClinic/center - Mental Health (including Community Mental Health Center)
Location6000 Stewart Pkwy Unit 5646, Douglasville, Georgia
Authorized Official Name and PositionDjuan Williams (OWNER)
Authorized Official Contact4049198836
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Eternal Ivy Foundation Inc.
6000 Stewart Pkwy Unit 5646
Douglasville
GA 30154-1109

Ph: () -
Eternal Ivy Foundation Inc.
6000 Stewart Pkwy Unit 5646
Douglasville
GA 30154-1109

Ph: (404) 919-8836

NPI Details:

NPI Number1306783865
Provider Enumeration Date05/01/2026
Last Update Date05/01/2026

Medical Identifiers

Medical identifiers for Eternal Ivy Foundation Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306783865NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QC1500XClinic/center - Community Health (* (Not Available))Secondary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary
320800000XCommunity Based Residential Treatment Facility, Mental Illness (* (Not Available))Secondary

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.