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NPISignal

Individual Healthcare Provider

Priscella Grant

NPI Record: ActiveHome Health
NPI1134840986
Fayetteville, Georgia

Provider's NPPES record last updated: September 9, 2022

Overview

Entity Type
Individual Healthcare Provider
NPI
1134840986
Primary Specialty
Home Health
Practice Location
Fayetteville, Georgia
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 4:09 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Home Health

    Agencies

    Primary

    A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

    Taxonomy code 251E00000X
  • Registered Nurse

    Home Health

    Nursing Service Providers

    Definition to come...

    Taxonomy code 163WH0200X
  • Licensed Practical Nurse

    Nursing Service Providers

    An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

    Taxonomy code 164W00000X
  • Pediatrics

    Allopathic & Osteopathic Physicians

    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

    Taxonomy code 208000000X
  • Nursing Care

    Agencies

    A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

    Taxonomy code 251J00000X
  • Home Health Aide

    Nursing Service Related Providers

    A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

    Taxonomy code 374U00000X

Provider-Reported License Information

Registered Nurse (Georgia)
PHCP010616
Licensed Practical Nurse (Georgia)
PHCP010616
Pediatrics (Georgia)
PHCP010616
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

320 Lanier Ave W Ste 200

Fayetteville, Georgia 30214-7443

Phone: (770) 250-7477

Record Information

Enumeration Date
September 9, 2022
Provider's NPPES Record Last Updated
September 9, 2022
Certification Date
September 9, 2022
NPISignal NPPES Dataset
August 2026

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