Active NPI
Ebony Gardner
- Adult Day Care Clinic/Center
- McDonough, GA
National Provider Identifier
1821880071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- ADC000352
- Practice address
- 309 Macon St
McDonough, GA 30253-3515 - Phone
- (404) 772-0905
- NPI assigned
- May 21, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | ADC000352 | GA | Primary |
Addresses
Primary practice location
309 Macon St
McDonough, GA 30253-3515
Mailing address
309 Macon St
McDonough, GA 30253-3515
Phone (404) 772-0905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ADC000352 | GA | MD | Adult Day Care Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caldore Acres Inc | Adult Day Care | Current | Accepting new patients |
Locations
309 Macon St
McDonough, GA 30253
Phone (404) 772-0905
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1821880071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 MACON ST",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302533515",
"telephone_number": "404-772-0905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 MACON ST",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302533515",
"telephone_number": "404-772-0905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "EBONY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-21",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "GA",
"license": "ADC000352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.