NPI age
17 years
Enumerated 2008-11-03
● Active Type 2 · Organization
Jac Nursing Registry International Inc
Jac Nursing Registry International Inc is 1 of 176 custodial care facility organizations in Georgia.
Primary specialty
Custodial Care Facility
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Moody
Pracrice Manager
Last NPPES update
2008-11-03
Source: monthly bulk 2026-05
How this organization compares
Across 176 active custodial care facility providers in Georgia.
NPI age
17 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 19% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-11Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
4500 Hugh Howell Rd, 320
Tucker, GA 300844723
Mailing address
7078 Biltmore Trce
Lithonia, GA 300582962
Authorized official
Chris Moody, CBCS
Pracrice Manager
📞 6787052633
Individual providers at this organization
10 individual providers on file at this primary practice address.
- Denella Ausborn, PSY.D. Psychologist NPI 1174676563
- Willie Ausborn, PSY.D Psychologist NPI 1366596025
- Deirdre Bonaparte, MA, CCC-SLP Speech-Language Pathologist NPI 1316389679
- Julia Eze, NP-C Nurse Practitioner NPI 1578017703
- Joo-Won Kim, DDS Dentist NPI 1265867014
- Jill Mattingly, PA-C, MMSC Physician Assistant NPI 1770795361
- Bruce Preston, D.M.D Dentist NPI 1164574893
- Steven Stewart, MD Family Medicine NPI 1679579643
- Lee Wilkes, MD Internal Medicine NPI 1568441871
- Jerry Wilson, PA-C Physician Assistant NPI 1619153210
Specialties
-
Custodial Care Facility PrimaryA custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in...
-
Day Training/Habilitation SpecialistIndividuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Jac Nursing Registry internatl Inc
Practice context
Multi-provider organization. 10 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 176 Custodial Care 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.