Active NPI
Eric Antwain Turner
- Nursing Care Agency
- Ellenwood, GA
National Provider Identifier
1932920642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- PHCP013331
- Practice address
- 25 Triple Crown LN
Ellenwood, GA 30294-2709 - Phone
- (404) 750-9240
- NPI assigned
- Oct 24, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | PHCP013331 | GA | Primary |
Addresses
Primary practice location
25 Triple Crown LN
Ellenwood, GA 30294-2709
Mailing address
25 Triple Crown LN
Ellenwood, GA 30294-2709
Phone (404) 750-9240
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 |
|---|---|---|---|
| PHCP013331 | GA | MD | Nursing Care Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Homeease Health Care LLC | Nursing Care | Current | Accepting new patients |
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.
-
- Nursing Care Agency
- Ellenwood, GA
- NPI 1871300798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1932920642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 TRIPLE CROWN LN",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302942709",
"telephone_number": "404-750-9240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 TRIPLE CROWN LN",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302942709",
"telephone_number": "404-750-9240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURNER",
"first_name": "ERIC",
"middle_name": "ANTWAIN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-24",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "GA",
"license": "PHCP013331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellenwood, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.