NPI age
17 years
Enumerated 2008-06-13
● Active Type 2 · Organization
Petlin Diversified Services Llc
Petlin Diversified Services 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
Mbah
Ceo
Last NPPES update
2008-06-13
Source: monthly bulk 2026-05
How this organization compares
Across 794 active skilled nursing facility providers in Georgia.
NPI age
17 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-06Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
2817 Lost Lakes Way
Powder Springs, GA 301276018
Mailing address
2817 Lost Lakes Way
Powder Springs, GA 301276018
Authorized official
Linda Angela Mbah, NP
Ceo
📞 7705958934
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...
Practice context
Single-site organization. Only one practice location on file.
Provyx · Custom healthcare lists
Need all 794 Skilled Nursing Facility providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.