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JENCARE SENIOR MEDICAL CENTER HAMMOND PARK
NPI 1013661438
Non-Pharmacy Dispensing Site in Atlanta, GA

Active since February 04, 2022CLIA 11D2253544 · Waiver
2720 METROPOLITAN PKWY SW, ATLANTA, GA 30315(404) 905-9200(404) 815-4330 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2022, Feb 4, 2022 (2 updates tracked since 2022).

About Jencare Senior Medical Center Hammond Park NPPES

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

JENCARE SENIOR MEDICAL CENTER HAMMOND PARK (NPI 1013661438) is a healthcare organization registered as a non-pharmacy dispensing site in Atlanta, Georgia and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through February 21, 2028 and lists Mary Chen, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1013661438
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NamePMR GEORGIA HOLDING, LLC
Location Address2720 METROPOLITAN PKWY SWAtlanta, GA 30315-7914
Mailing Address1395 Nw 167th StMiami Gardens, FL 33169-5710 · (305) 628-6117
Phone(404) 905-9200
Fax(404) 815-4330
Organization SubpartYes
Authorized OfficialMary ChenAuthorized Official · (305) 628-6117
Enumeration DateFebruary 4, 2022
Last NPPES UpdateOctober 3, 20222 updates tracked since enumeration
NPPES CertifiedOctober 3, 2022
✔ NPI 1013661438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
2720 METROPOLITAN PKWY SW, Atlanta, GA 30315
Open in Google Maps ↗

Other Names 1

Doing Business AsJencare Senior Medical Center Hammond Park

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2253544

Jencare Senior Medical Center - Hammond Park · Atlanta, GA
Active · expires Feb 21, 2028
CLIA Number11D2253544
Laboratory TypePhysician Office
Certificate Effective DateFebruary 22, 2026
Certificate Expiration DateFebruary 21, 2028
Laboratory DirectorDr. Christopher Chen
Laboratory Phone(305) 842-3910
Laboratory LocationJencare Senior Medical Center - Hammond Park2720 Metropolitan Parkway, SW, Atlanta, GA 30315
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SAMANTHA WAGNER MD
Family Medicine
2720 METROPOLITAN PKWY SW
ATLANTA, GA 30315
Fulton County (404) 905-9200
DR. CHRISTINE MARIE DANFORTH M.D.
Family Medicine
2720 METROPOLITAN PKWY SW
ATLANTA, GA 30315
Fulton County (404) 905-9200
ZIHAN GUO
Family Medicine
2720 METROPOLITAN PKWY SW
ATLANTA, GA 30315
Fulton County (404) 905-9200

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 Pmr Georgia Holding, LLC's NPI number?

The NPI number for Pmr Georgia Holding, LLC is 1013661438. It was assigned to this organization in the NPPES registry on February 4, 2022. The provider is doing business as Jencare Senior Medical Center Hammond Park.

Where is Pmr Georgia Holding, LLC located?

Pmr Georgia Holding, LLC is located at 2720 Metropolitan Pkwy SW, Atlanta, GA 30315. The listed phone number is (404) 905-9200.

What is Pmr Georgia Holding, LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Pmr Georgia Holding, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2253544) is associated with this NPI, valid through February 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pmr Georgia Holding, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 31 other insurers list Pmr Georgia Holding, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pmr Georgia Holding, LLC was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.