Healthcare Provider Details

I. General information

NPI: 1588505465
Provider Name (Legal Business Name): CARING BRIDGE CASE MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

154 HILL RD
LYONS GA
30436-4450
US

IV. Provider business mailing address

154 HILL RD
LYONS GA
30436-4450
US

V. Phone/Fax

Practice location:
  • Phone: 912-246-5399
  • Fax: 912-387-4272
Mailing address:
  • Phone: 912-246-5339
  • Fax: 912-387-4272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MELISSA CAROL JENKINS
Title or Position: OWNER
Credential:
Phone: 912-246-5339