NPI age
5 years
Enumerated 2020-12-03
● Active Type 2 · Organization
Golden Bloom Phrams Inc
Golden Bloom Phrams Inc is 1 of 62 exclusive provider organization organizations in Georgia.
Primary specialty
Exclusive Provider Organization
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lane
President
Last NPPES update
2020-12-03
Source: monthly bulk 2026-05
How this organization compares
Across 62 active exclusive provider organization providers in Georgia.
NPI age
5 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-12Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
1172 Old Salem Rd Se
Conyers, GA 300945944
Mailing address
1172 Old Salem Rd Se
Conyers, GA 300945944
Authorized official
Jessica Lane
President
📞 7706338550
Specialties
-
Exclusive Provider Organization Primary(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or...
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 →
- 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.