OrganizationActive
Jeannie-In-A-Bottle LLC
NPI 1871759233 · Physical Medicine & Rehabilitation Physician · Duluth, GA
Provider details
- NPI number
- 1871759233
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeannie Blom, Ceo(404) 849-3443
- License
- 041517 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
3620 Howell Ferry Rd
Duluth, GA 30096-3178
Phone: (678) 312-6800
Fax: (678) 312-5622
Street-level locationGet directions
Mailing address
1343 Canton Rd Ste C
Marietta, GA 30066-6079
Other names (DBA / former)
- Other name
- Jeannie Blom
Registry dates
- Enumerated
- 2008-08-05
- Last updated
- 2013-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.