Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jac Nursing Registry International Inc

Organization Adult Care Home Facility · NPI 1972756054

Jac Nursing Registry International Inc is an Adult Care Home Facility in Tucker, Georgia. Licensed in Georgia. Registered with an NPI since 2008.

Licensed in
GA
In the registry since
2008
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4500 Hugh Howell Rd 320
Tucker, GA 30084-4723
Phone: (770) 753-9070
Fax: (770) 621-9433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X · Licence 041157362 (GA)
Day Training/Habilitation Specialist Taxonomy 373H00000X · Licence 041157362 (GA)

Record details

NPI number1972756054
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chris Moody — Pracrice Manager · (678) 705-2633
Other names Jac Nursing Registry Internatl Inc
NPI enumeratedNovember 3, 2008
Last updated in NPPESNovember 3, 2008
Mailing address7078 Biltmore Trce, Lithonia, GA 30058-2962

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