Healthcare Provider Details

I. General information

NPI: 1588161681
Provider Name (Legal Business Name): POST SURGERY CARE OF ATLANTA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2018
Last Update Date: 11/09/2025
Certification Date: 11/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

789 JORDAN LN APT 2
DECATUR GA
30033-5715
US

IV. Provider business mailing address

PO BOX 1562
MARIETTA GA
30061-1562
US

V. Phone/Fax

Practice location:
  • Phone: 470-298-2630
  • Fax:
Mailing address:
  • Phone: 470-298-2630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JILLIAN ALEXIS SIMPSON
Title or Position: REHABILITIATION PRACTITIONER
Credential: CNA
Phone: 470-298-2630