Healthcare Provider Details

I. General information

NPI: 1396655361
Provider Name (Legal Business Name): GEORGIA MISSION MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2390 CANDLER RD
DECATUR GA
30032-6406
US

IV. Provider business mailing address

8735 DUNWOODY PL STE 5896
SANDY SPRINGS GA
30350-2995
US

V. Phone/Fax

Practice location:
  • Phone: 404-547-2003
  • Fax:
Mailing address:
  • Phone: 404-547-2003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: ROBIN WHITE-GUNN
Title or Position: ADMINISTRATOR/OWNER
Credential:
Phone: 404-547-2003