PROFESSIONAL NURSING ASSOCIATES OF GEORGIA LLC
NPI 1124585005
In Home Supportive Care in Fayetteville, GA

Active since February 26, 2019
110 HABERSHAM DR STE 152, FAYETTEVILLE, GA 30214(678) 582-9215 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2022, Feb 26, 2019 (2 updates tracked since 2019).

About Professional Nursing Associates Of Georgia Llc NPPES

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

PROFESSIONAL NURSING ASSOCIATES OF GEORGIA LLC (NPI 1124585005) is a healthcare organization registered as an in home supportive care in Fayetteville, Georgia and active in the NPI registry since February 2019. The organization maintains a secondary practice location in Lithonia and lists Tammy S Rowe, Owner, as its authorized official.

NPPES Registry Identity

NPI1124585005
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NamePROFESSIONAL NURSING ASSOCIATES OF GEORGIA LLC
Location Address110 HABERSHAM DR STE 152Fayetteville, GA 30214-1381
Mailing Address110 Habersham Dr Ste 152Fayetteville, GA 30214-1381 · (678) 582-9215
Organization SubpartNo
Authorized OfficialTammy S RoweOwner · (678) 682-4400
Enumeration DateFebruary 26, 2019
Last NPPES UpdateApril 17, 20252 updates tracked since enumeration
NPPES CertifiedApril 17, 2025
NPI 1124585005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Also ListedHome HealthTaxonomy 251E00000X
Also ListedHome InfusionTaxonomy 251F00000X
Also ListedNursing CareTaxonomy 251J00000X
110 HABERSHAM DR STE 152, Fayetteville, GA 30214

Secondary Practice Location 1

Location 11718 Phillips RdLithonia, GA 30058-5378 · Phone (678) 582-9215

Other Providers at the Same Location NPPES

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

Ambulance (Land Transport)
110 HABERSHAM DR STE 152
FAYETTEVILLE, GA 30214

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 Professional Nursing Associates Of Georgia LLC's NPI number?

The NPI number for Professional Nursing Associates Of Georgia LLC is 1124585005. It was assigned to this organization in the NPPES registry on February 26, 2019.

Where is Professional Nursing Associates Of Georgia LLC located?

Professional Nursing Associates Of Georgia LLC is located at 110 Habersham Dr Ste 152, Fayetteville, GA 30214. The listed phone number is (678) 582-9215.

What is Professional Nursing Associates Of Georgia LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Professional Nursing Associates Of Georgia LLC was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.