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

Providence Healthcare of Georgia

Organization Home Health Registered Nurse · NPI 1720618077

Providence Healthcare of Georgia is a Home Health Registered Nurse in Mableton, Georgia. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
6

Practice location Address checks out

6509 Bennington Bluff Ct
Mableton, GA 30126-7269
Phone: (404) 408-8703
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Registered Nurse (primary) Taxonomy 163WH0200X
Case Management Agency Taxonomy 251B00000X
Home Health Agency Taxonomy 251E00000X
Nursing Care Agency Taxonomy 251J00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
In Home Supportive Care Agency Taxonomy 253Z00000X

Record details

NPI number1720618077
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Neiya Speller — Administrator · (631) 678-6889
Other names Phg Healthcare
NPI enumeratedJanuary 24, 2020
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025
Mailing address6509 Bennington Bluff Ct, Mableton, GA 30126-7269

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