MEDICARE: ESSENTIAL CASE MANAGEMENT LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1790623551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESSENTIAL CASE MANAGEMENT LLC

Provider Business Mailing Address
First Line	:	180 WARBLER WAY
Second Line	:
City	:	MCDONOUGH
State	:	GA
Zip	:	30253-7758
Country	:	US
Telephone Number	:	470-531-7510
Fax Number	:

Provider Business Practice Location Address
First Line	:	180 WARBLER WAY
Second Line	:
City	:	MCDONOUGH
State	:	GA
Zip	:	30253-7758
Country	:	US
Telephone Number	:	470-531-7510
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LOLITA LYNN JONES
Credential	:	RN
Telephone Number	:	470-531-7510

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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