NPI age
7 years
Enumerated 2018-10-31
● Active Type 2 · Organization
Coliseum Drive Associates Llc
Coliseum Drive Associates Llc is 1 of 794 skilled nursing facility organizations in Georgia.
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Douston
Chief Financial Officer
Last NPPES update
2023-12-21
Source: monthly bulk 2026-05
How this organization compares
Across 794 active skilled nursing facility providers in Georgia.
NPI age
7 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2026
2018-10Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
505 Coliseum Dr
MacOn, GA 312173840
Mailing address
3000 Old Alabama Rd Ste 119-403
Alpharetta, GA 300225860
Authorized official
Daren Douston
Chief Financial Officer
📞 4042824755
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Jennifer Nwangburuka, FNP Nurse Practitioner NPI 1730653122
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...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Macon Rehabilitation and Healthcare
-
Macon Rehabilitation and Healthcare
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.