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PMR GEORGIA HOLDING, LLC
NPI 1164194858
Non-Pharmacy Dispensing Site in Forest Park, GA

Active since September 30, 2021
1057 MAIN ST, FOREST PARK, GA 30297(404) 301-4555(404) 301-4482 Get Directions Write a Review

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Pmr Georgia Holding, Llc NPPES

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

PMR GEORGIA HOLDING, LLC (NPI 1164194858), doing business as Jencare Senior Medical Center Forest Park, is a healthcare organization registered as a non-pharmacy dispensing site in Forest Park, Georgia and active in the NPI registry since September 2021. The organization lists Mary Chen, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1164194858
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NamePMR GEORGIA HOLDING, LLC
Location Address1057 MAIN STForest Park, GA 30297-1482
Mailing Address1395 Nw 167th StMiami Gardens, FL 33169-5710 · (305) 628-6117
Phone(404) 301-4555
Fax(404) 301-4482
Organization SubpartYes
Authorized OfficialMary ChenAuthorized Official · (305) 628-6117
Enumeration DateSeptember 30, 2021
NPPES CertifiedSeptember 27, 2021
✔ NPI 1164194858 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.)
1057 MAIN ST, Forest Park, GA 30297
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Other Names 1

Doing Business AsJencare Senior Medical Center Forest 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 ›

Other Providers at the Same Location NPPES 5

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

CRISP & ASSOCIATES III, LLC
Durable Medical Equipment & Medical Supplies
1057 MAIN ST, SUITE C
FOREST PARK, GA 30297
Clayton County (404) 362-6901
C & W DURABLE MEDICAL EQUIPMENT
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1057 MAIN ST, SUITE C
FOREST PARK, GA 30297
Clayton County (404) 362-6901
CHRISTIANS MEDICAL EQUIPMENT & SUPPLIES INC.
Durable Medical Equipment & Medical Supplies
1057 MAIN ST, SUITE C
FOREST PARK, GA 30297
Clayton County (404) 362-6901
MR. MANU JACOB GEORGE MD
Internal Medicine
1057 MAIN ST
FOREST PARK, GA 30297
Clayton County (404) 301-4555
MIRIAM P GWATHNEY DO
Family Medicine
1057 MAIN ST
FOREST PARK, GA 30297
Clayton County (404) 301-4555

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 1164194858. It was assigned to this organization in the NPPES registry on September 30, 2021. The provider is doing business as Jencare Senior Medical Center Forest Park.

Where is Pmr Georgia Holding, LLC located?

Pmr Georgia Holding, LLC is located at 1057 Main St, Forest Park, GA 30297. The listed phone number is (404) 301-4555.

What is Pmr Georgia Holding, LLC's specialty?

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

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 30 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 September 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.