Palm City Nursing and Rehab Center – Skilled Nursing Facility, NPI 1053308775

Palm City Nursing and Rehab Center is a healthcare provider. based in Atlanta, Georgia. specializing in Skilled Nursing Facility. The organization holds a License No. SNF14630961 (FL). The NPI Number for Palm City Nursing and Rehab Center is 1053308775

Main info

Organization
Name
Palm City Nursing and Rehab Center
NPI
1053308775
Phone
(404) 574-2100
Address
5887 GLENRIDGE DR
Authorized Official
MR. R. MARK CRONQUIST MANAGER
Enumeration Date
29 September 2005
Last Update Date
7 October 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Palm City Nursing and Rehab Center

  • Atlanta Phone Guru, 5825, Glenridge Drive Northeast, Sandy Springs, Fulton County, Georgia, 30328, United States

    SUITE 150

    ATLANTA, GA 303285574

    Phone: (404) 574-2100

    Fax: (404) 574-2105

    Type: Mailing

  • 2505, Southwest Martin Highway, Isles Worth, Palm City, Martin County, Florida, 34990, United States

    PALM CITY, FL 349903149

    Phone: (772) 288-0060

    Fax: (772) 288-3218

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-09-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20030903000014OSkilled Nursing FacilityFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30328)

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Reviews

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Frequently asked questions

What is the standard ID for Palm City Nursing and Rehab Center in the U.S.?
In the U.S., Palm City Nursing and Rehab Center is identified by NPI 1053308775.
Is Palm City Nursing and Rehab Center's NPI status active today?
Active status means Palm City Nursing and Rehab Center's NPI record is not deactivated in the public file.
How should patients interpret Palm City Nursing and Rehab Center's specialty?
The extract shows Skilled Nursing Facility for Palm City Nursing and Rehab Center. Clinical services aligned with this taxonomy classification.
Can patients visit Palm City Nursing and Rehab Center in Atlanta, Georgia?
For routing, start with Atlanta, Georgia for Palm City Nursing and Rehab Center, then verify phone and hours locally.
Who maintains Palm City Nursing and Rehab Center's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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