Individual ProviderJayda AtkinsonCounselorBehavioral Health & Social Service ProvidersPractice Address1803 Over Lake Dr SE Ste B, Conyers, GA 30013-1789(678) 632-2767PECOS EnrollmentBased on the most recent information from CMS, provider Jayda Atkinson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1184451924Provider TypeIndividualFull NameAtkinson, JaydaGenderFemaleSole ProprietorYesEnumeration Date9/16/2024Last Updated9/16/2024Contact InformationPractice LocationPractice Address1803 Over Lake Dr SE Ste B, Conyers, GA 30013-1789Phone(678) 632-2767FaxUnlisted FaxMailing LocationMailing Address2242 Capri Cv, Conyers, GA 30012-2974PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseAPC009918Georgia