Healthcare Provider Details

I. General information

NPI: 1861324048
Provider Name (Legal Business Name): CSS MANAGEMENT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4380 LEGENDARY ST
STONE MOUNTAIN GA
30083-5248
US

IV. Provider business mailing address

4380 LEGENDARY ST
STONE MOUNTAIN GA
30083-5248
US

V. Phone/Fax

Practice location:
  • Phone: 404-786-2688
  • Fax: 404-475-2008
Mailing address:
  • Phone: 404-786-2688
  • Fax: 404-475-2008

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: MRS. SHARON LADD WASHINGTON
Title or Position: CASE MANAGER
Credential: REGISTERED NURSE
Phone: 404-786-2688