Healthcare Provider Details

I. General information

NPI: 1386563310
Provider Name (Legal Business Name): THE PLUG CARE SUPPORT SERVICES 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

257 ERMINES WAY
MCDONOUGH GA
30253-7485
US

IV. Provider business mailing address

257 ERMINES WAY
MCDONOUGH GA
30253-7485
US

V. Phone/Fax

Practice location:
  • Phone: 470-855-9516
  • Fax:
Mailing address:
  • Phone: 470-855-9516
  • 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: TARMEKA TOLBERT
Title or Position: PROGRAM DIRECTOR/CEO
Credential:
Phone: 470-855-9516