SERENITY HOUSE OF ATLANTA MINISTRIES INC.
NPI 1154194223
Custodial Care Facility - Adult Care Home in Covington, GA

Active since November 01, 2023
1041 KINNETT RD, COVINGTON, GA 30016(844) 473-7364 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Serenity House Of Atlanta Ministries Inc. NPPES

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

SERENITY HOUSE OF ATLANTA MINISTRIES INC. (NPI 1154194223) is a healthcare organization registered as an adult care home in Covington, Georgia and active in the NPI registry since November 2023. The organization lists Norman Bethea, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154194223
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameSERENITY HOUSE OF ATLANTA MINISTRIES INC.
Location Address1041 KINNETT RDCovington, GA 30016-9163
Mailing Address1041 Kinnett RdCovington, GA 30016-9163 · (844) 473-7364
Organization SubpartNo
Authorized OfficialNorman BetheaCeo · (844) 473-7364
Enumeration DateNovember 1, 2023
NPPES CertifiedNovember 1, 2023
✔ NPI 1154194223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Also ListedAssisted Living FacilityTaxonomy 310400000X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
1041 KINNETT RD, Covington, GA 30016

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Serenity House Of Atlanta Ministries Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Serenity House Of Atlanta Ministries Inc., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Internal Medicine
NPI 1225533987
1412 MILSTEAD AVE NE
Conyers, GA 30012
(770) 918-8079
✔ PECOS✔ Accepts Medicare8.4 mi
Nurse Practitioner
NPI 1013550508
8315 CHAMPION TRL
Fairburn, GA 30213
(770) 892-7878
✔ PECOS✔ Accepts Medicare33 mi
Nurse Practitioner
NPI 1386243087
1301 HIGHTOWER TRL STE 150
Atlanta, GA 30350
(404) 497-1830
✔ PECOS✔ Accepts Medicare35 mi
Nurse Practitioner
NPI 1003665647
2481 HURT RD SW
Marietta, GA 30008
(404) 934-2420
✔ PECOS✔ Accepts Medicare41 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Serenity House Of Atlanta Ministries Inc.'s NPI number?

The NPI number for Serenity House Of Atlanta Ministries Inc. is 1154194223. It was assigned to this organization in the NPPES registry on November 1, 2023.

Where is Serenity House Of Atlanta Ministries Inc. located?

Serenity House Of Atlanta Ministries Inc. is located at 1041 Kinnett Rd, Covington, GA 30016. The listed phone number is (844) 473-7364.

What is Serenity House Of Atlanta Ministries Inc.'s specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Is Serenity House Of Atlanta Ministries Inc. enrolled in Medicare?

Yes. Serenity House Of Atlanta Ministries Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Serenity House Of Atlanta Ministries Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Serenity House Of Atlanta Ministries Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Internal Medicine (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Serenity House Of Atlanta Ministries Inc. was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.