MEDICARE: EDUCATIONAL ADVANCEMENT GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1744P3200X	Prosthetics Case Management
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1972452860
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDUCATIONAL ADVANCEMENT GROUP

Provider Business Mailing Address
First Line	:	1520 RIVERGLEN DR
Second Line	:
City	:	LOGANVILLE
State	:	GA
Zip	:	30052-9012
Country	:	US
Telephone Number	:	770-289-2302
Fax Number	:

Provider Business Practice Location Address
First Line	:	1520 RIVERGLEN DR
Second Line	:
City	:	LOGANVILLE
State	:	GA
Zip	:	30052-9012
Country	:	US
Telephone Number	:	770-289-2302
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER AND CEO
Name	:	DR. GRETCHEN J TORBERT
Credential	:	PH.D.
Telephone Number	:	770-289-2302

Provider Enumeration Date	:	01/24/2026
Last Update Date	:	01/24/2026

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