Gardens of Grace Living Facility

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

GARDENS OF GRACE LIVING FACILITY

Practice address

9818 Ivey Ridge Cir
Jonesboro, GA 30238-4157

Phone

(404) 617-5502

NPI assigned

Feb 23, 2026

Last updated

Feb 23, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kiah HickmanNPI 1760095665

Title

Administartor

Phone

(404) 617-5502

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kiah Hickman

  • Driver
  • Morrow, GA
  • NPI 1760095665
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1771804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1598619025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9818 IVEY RIDGE CIR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302384157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9818 IVEY RIDGE CIR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302384157",
            "telephone_number": "404-617-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDENS OF GRACE LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "KIAH",
        "authorized_official_title_or_position": "ADMINISTARTOR",
        "authorized_official_telephone_number": "404-617-5502",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Future Success Service
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• Myrna Gacusan
• Gayla Darnell Gates, MD
• J. Claude Gauthier, M.D.
• Christopher Lawrence Gaydos, MD
• Generational Hospice Inc
• Shone Renee Generette, RN

• Community Health Worker in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Community Health Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.