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EAGLE'S LANDING LONGEVITY CENTER
NPI 1134524788
Internal Medicine in Stockbridge, GA

Active since October 24, 2014CLIA 11D1065297 · Waiver
1325 ROCK QUARRY RD, SUITE 200, STOCKBRIDGE, GA 30281(770) 389-0734(770) 389-5364 Get Directions Write a Review

NPPES record last updated: February 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eagle's Landing Longevity Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAGLE'S LANDING LONGEVITY CENTER (NPI 1134524788) is a healthcare organization registered as an internal medicine in Stockbridge, Georgia and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through February 26, 2027 and lists Gayla Deneice Sylvain, Owner, as its authorized official.

NPPES Registry Identity

NPI1134524788
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEAGLE'S LANDING LONGEVITY CENTER
Location Address1325 ROCK QUARRY RD, SUITE 200Stockbridge, GA 30281-5088
Mailing Address1325 Rock Quarry Rd, Suite 200Stockbridge, GA 30281-5088 · (770) 389-0734 · Fax (770) 389-5364
Phone(770) 389-0734
Fax(770) 389-5364
Organization SubpartNo
Authorized OfficialGayla Deneice SylvainOwner · (770) 389-0734
Enumeration DateOctober 24, 2014
Last NPPES UpdateFebruary 24, 2020
✔ NPI 1134524788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 39958
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1325 ROCK QUARRY RD, Stockbridge, GA 30281
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D1065297

Eagles Landing Longevity Center · Stockbridge, GA
Active · expires Feb 26, 2027
CLIA Number11D1065297
Laboratory TypePhysician Office
Certificate Effective DateFebruary 27, 2025
Certificate Expiration DateFebruary 26, 2027
Laboratory DirectorGayla D. Sylvain MD
Laboratory Phone(770) 389-0734
Laboratory LocationEagles Landing Longevity Center1325 Rock Quarry Road Suite 100, Stockbridge, GA 30281
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GAYLA DENISE SYLVAIN MD
Internal Medicine
1325 ROCK QUARRY RD, SUITE 200
STOCKBRIDGE, GA 30281
Henry County (770) 389-0734
NOELLEMARIE BARRERA D.O.
Internal Medicine
1325 ROCK QUARRY RD, SUITE 200
STOCKBRIDGE, GA 30281
Henry County (770) 389-0734
CAPTIVATING CROWN LLC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
1325 ROCK QUARRY RD
STOCKBRIDGE, GA 30281
Henry County (770) 506-4247

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eagle's Landing Longevity Center's NPI number?

The NPI number for Eagle's Landing Longevity Center is 1134524788. It was assigned to this organization in the NPPES registry on October 24, 2014.

Where is Eagle's Landing Longevity Center located?

Eagle's Landing Longevity Center is located at 1325 Rock Quarry Rd Suite 200, Stockbridge, GA 30281. The listed phone number is (770) 389-0734.

What is Eagle's Landing Longevity Center's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Eagle's Landing Longevity Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1065297) is associated with this NPI, valid through February 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eagle's Landing Longevity Center accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Eagle's Landing Longevity Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eagle's Landing Longevity Center was last updated on February 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.