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

Provident Group - Creekside Properties LLC

Organization Assisted Living Facility · NPI 1891287645

Provident Group - Creekside Properties LLC is an Assisted Living Facility in Smyrna, Georgia. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4838 S Cobb Dr
Smyrna, GA 30080
Phone: (678) 710-1834
Fax: (678) 236-0374
Show map & directions

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

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X
Alzheimer Center (Dementia Center) Taxonomy 311500000X
Respite Care Taxonomy 385H00000X

Record details

NPI number1891287645
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debra Lockwood — President & Chief Financial Officer · (225) 766-3977
Other names Provident Village At Creekside
NPI enumeratedJune 6, 2018
Last updated in NPPESJune 6, 2018
Mailing address5565 Bankers Avenue, Baton Rouge, LA 70808

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