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NPI 1568846798 · Nursing Facility/Intermediate Care Facility · Duluth, GA
Provider details
- NPI number
- 1568846798
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Cornelia Williams, Owner/Director(404) 781-5130
- License
- 067-R-1275 (GA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3235 Satellite Blvd
Bldg 400 Suite 300
Duluth, GA 30096-8687
Phone: (770) 875-9234
Fax: (678) 253-0227
Street-level locationGet directions
Mailing address
3163 Dove Ct
Snellville, GA 30078-3652
Registry dates
- Enumerated
- 2015-07-17
- Last updated
- 2015-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.