NPI age
7 years
Enumerated 2018-06-06
● Active Type 2 · Organization
Provident Group - Creekside Properties Llc
Provident Group - Creekside Properties Llc is 1 of 519 assisted living facility organizations in Georgia.
Primary specialty
Assisted Living Facility
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lockwood
President & Chief Financial Officer
Last NPPES update
2018-06-06
Source: monthly bulk 2026-05
How this organization compares
Across 519 active assisted living facility providers in Georgia.
NPI age
7 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 11% of peers with subspecialties
NPI lifetime · 2018 → 2026
2018-06Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
4838 South Cobb Drive
Smyrna, GA 30080
Mailing address
5565 Bankers Avenue
Baton Rouge, LA 70808
Authorized official
Debra W. Lockwood
President & Chief Financial Officer
📞 2257663977
Specialties
-
Assisted Living Facility PrimaryA facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
-
Alzheimer Center (Dementia Center)A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart...
-
Respite CareDefinition to come.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Provident Village at Creekside
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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