P Praxis·MD
● Active Type 2 · Organization

Meadowbrook Nursing Home Inc

Skilled Nursing Facility·Tucker, GA· NPI 1053312736 · Enumerated 2005 · 20 years on NPI
Meadowbrook Nursing Home Inc is 1 of 794 skilled nursing facility organizations in Georgia.
NPI age
20 years
Enumerated 2005-08-03
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Penley
Ceo
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 794 active skilled nursing facility providers in Georgia.

NPI age
20 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2005 → 2026

2005-08Enumerated in NPPES
2005 2026

Where they practice

Primary practice location
4608 Lawrenceville Hwy
Tucker, GA 300842903
📞 7709380118fax 7704918760
Mailing address
4608 Lawrenceville Hwy
Tucker, GA 300842903
📞 7709380118fax 7704918760

Authorized official

Thomas W Penley
Ceo
📞 7068551773

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Skilled Nursing Facility Primary
    (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness...
    taxonomy 314000000X

Identifiers

TypeValueNotes
05 (GA) 00141864A
01 1054670001 DME#

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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