MEDICARE: DB ADVISORY GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251C00000X	Developmentally Disabled Services Day Training Agency
3	251J00000X	Nursing Care Agency
4	251S00000X	Community/Behavioral Health Agency
5	251X00000X	Supports Brokerage Agency
6	253Z00000X	In Home Supportive Care Agency
7	261QA0600X	Adult Day Care Clinic/Center
8	310400000X	Assisted Living Facility
9	311Z00000X	Custodial Care Facility
10	311ZA0620X	Adult Care Home Facility
11	332B00000X	Durable Medical Equipment & Medical Supplies
12	343800000X	Secured Medical Transport (VAN)
13	343900000X	Non-emergency Medical Transport (VAN)
14	385H00000X	Respite Care
15	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1518838044
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DB ADVISORY GROUP

Provider Business Mailing Address
First Line	:	1475 SAND BAY DR SW
Second Line	:	9110
City	:	ATLANTA
State	:	GA
Zip	:	30331
Country	:	US
Telephone Number	:	706-615-0092
Fax Number	:

Provider Business Practice Location Address
First Line	:	1475 SAND BAY DR SW
Second Line	:	9110
City	:	ATLANTA
State	:	GA
Zip	:	30331
Country	:	US
Telephone Number	:	706-615-0092
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE OFFICER
Name	:	MR. DEION BROADNAX
Credential	:
Telephone Number	:	706-887-1295

Provider Enumeration Date	:	09/17/2025
Last Update Date	:	09/17/2025

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