Georgia Premium Personal Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GEORGIA PREMIUM PERSONAL CARE

Practice address

2107 Garden Wood CT
Atlanta, GA 30349-6290

Phone

(404) 863-1541

NPI assigned

Aug 23, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Jacqueline JohnsonNPI 1811160740

Title

Owner

Phone

(404) 857-8639

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Johnson

  • Health Service Psychologist
  • Atlanta, GA
  • NPI 1811160740
  NPD Authorized official

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1669029518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 GARDEN WOOD CT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303496290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 GARDEN WOOD CT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303496290",
            "telephone_number": "404-863-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA PREMIUM PERSONAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-857-8639",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "georgiapremiumcare@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "2107 Garden Wood Ct",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303496290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Georgia Pediatric Pulmonology Associates, P.C.
• Georgia Perinatal Centers, Inc.
• Georgia PHS PC
• Georgia Physicians of Cardiology, LLC
• Georgia Plastic Surgery
• Georgia Prosthetics, Inc. (Restorative Prosthetics & Orthotics)
• Georgia Protoncare Center, Inc. (Emory Proton Therapy Center)
• Georgia Psychiatric Consultants LLC
• Georgia Psychiatry & Sleep (Hightop Health)
• Georgia Psychological Services

• In Home Supportive Care Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.