MARJORIEI PETIT CCMA, HEALTHCARE MAN
NPI 1154120624
Pathology - Clinical Laboratory Director, Non-physician in Locust Grove, GA

Q: What is Marjoriei Petit's NPI number?

The NPI number for Marjoriei Petit is 1154120624. It was assigned to this individual provider in the NPPES registry on March 10, 2025.

Q: What is Marjoriei Petit's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

Q: When was this NPI record last updated?

The NPPES record for Marjoriei Petit was last updated on November 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.

Active since March 10, 2025

480 GROVE PARK DR, LOCUST GROVE, GA 30248(404) 834-9934 Get Directions Write a Review

NPPES record last updated: November 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 16, 2025, Mar 10, 2025 (2 updates tracked since 2025).

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About Marjoriei Petit Ccma, Healthcare Man NPPES

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

MARJORIEI PETIT CCMA, HEALTHCARE MAN (NPI 1154120624) is an individual clinical laboratory director, non-physician in Locust Grove, Georgia, licensed in Georgia (25024448) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1154120624

Entity TypeIndividualFemale

Primary Taxonomy247ZC0005X

Provider Legal NameMARJORIEI PETITCredential: CCMA, HEALTHCARE MAN

Location Address480 GROVE PARK DRLocust Grove, GA 30248-4573

Mailing Address480 Grove Park DrLocust Grove, GA 30248-4573 · (404) 834-9934

Phone(404) 834-9934

Sole ProprietorYes

Enumeration DateMarch 10, 2025

Last NPPES UpdateNovember 16, 20252 updates tracked since enumeration

NPPES CertifiedNovember 16, 2025

✔ NPI 1154120624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code247ZC0005X

License✔ Licensed in GA · 25024448

Definition

An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.

480 GROVE PARK DR, Locust Grove, GA 30248

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Marjoriei Petit's NPI number?

The NPI number for Marjoriei Petit is 1154120624. It was assigned to this individual provider in the NPPES registry on March 10, 2025.

Where is Marjoriei Petit located?

Marjoriei Petit practices at 480 Grove Park Dr, Locust Grove, GA 30248. The listed phone number is (404) 834-9934.

What is Marjoriei Petit's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

When was this NPI record last updated?

The NPPES record for Marjoriei Petit was last updated on November 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.