Healthcare Provider Details

I. General information

NPI: 1619896636
Provider Name (Legal Business Name): PLUMMER HEALTH AND HOME CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5117 DEVON LN
AUGUSTA GA
30909-9184
US

IV. Provider business mailing address

5117 DEVON LN
AUGUSTA GA
30909-9184
US

V. Phone/Fax

Practice location:
  • Phone: 470-865-9588
  • Fax:
Mailing address:
  • Phone: 470-865-9588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: ROYELLE NICHELLE CLARKE
Title or Position: OWNER
Credential: RN
Phone: 470-865-9588