Atlanta care coordination resources
Local resources and next-step checklists for adult children and family caregivers coordinating care in metro Atlanta.
Non-clinical administrative coordination. Not an emergency service.
Starting point: This page is a curated set of common resources—not a complete directory, ranking, or partner list. Please confirm details with each organization. Suggest an update.
Local snapshot
Atlanta’s health care landscape is a system-of-systems: Emory, Piedmont, Northside, Wellstar, and Grady each run multiple hospitals and specialty clinics spread across the I‑75/I‑85 connector and around I‑285. For families coordinating from out of town, “Atlanta” on a discharge paper can mean Midtown, Clifton/Decatur, Sandy Springs, Marietta, or downtown—each with different parking, check‑in workflows, and medical‑records processes. Traffic and campus layout matter: plan buffer time for Peachtree/connector congestion, and don’t assume two locations under the same brand share the same phone tree or portal settings. On the aging-support side, metro Atlanta families often start with the Area Agency on Aging screening line and then connect into county senior services (Fulton, DeKalb, Cobb) for meals, transportation, and caregiver programs. When siblings are spread across states, one shared “open loops” list and a single point person for calls makes the week‑to‑week logistics far easier.
Where to start (especially if you’re remote)
- Collect decision-making and access paperwork: scanned copies of any healthcare proxy/POA, a signed release-of-information form when needed, and proxy access for each patient portal.
- Create one shared “care binder” folder (digital works): current meds list, allergies, pharmacy, primary/specialists, insurance cards, and a simple one‑page contact sheet.
- After every visit or hospitalization, ask for and save the after‑visit summary (or discharge summary) and the most current medication list—then share it with the family point person.
- Keep an “open loops” list: pending referrals, tests to schedule, forms to complete, equipment deliveries, home health start dates, and next appointments (with the responsible person listed).
- For unit or nurse-station contact details during a hospital stay, call the hospital’s main operator and ask to be transferred (numbers change frequently).
- Pick a communication rhythm: a 10‑minute weekly family check‑in and one designated caller for providers reduces duplicate calls and mixed messages.
- If someone is transitioning home, confirm the logistics early (transportation, follow‑up appointments, medication pickup, and who is present at home the first 48 hours).
Let an Averyn Care Navigator take on the “stuck in the middle” tasks:
- Scheduling and rescheduling across multiple providers
- Referral follow-up, pre-auth paperwork, and portal threads
- Clear written updates that keep family aligned
Non-clinical administrative coordination (not medical advice, triage, or emergency monitoring).
Major health systems near Atlanta
Phone trees and campus details change—use the official directories linked below.
Address: 1364 Clifton Road NE, Atlanta, GA 30322
Main: 404-712-2000
- Main hospital line (operator): 404-712-2000
- Patient Relations (Emory University Hospital): 404-686-7593
- Medical Records / Release of Information: 404-712-4111
- Appointments (Emory Healthcare): 404-778-7777
Address: 1000 Johnson Ferry Road NE, Atlanta, GA 30342
Main: 404-851-8000
- Main hospital line (operator): 404-851-8000
- Patient Relations (patients currently in the hospital): 404-851-8904
- Patient Relations (after discharge): 404-851-8083
- Medical Records: 404-943-7050
Address: 80 Jesse Hill Jr. Drive SE, Atlanta, GA 30303
Main: 404-616-1000
- Main hospital line (operator): 404-616-1000
- Patient & Family Experience (patient relations): 404-616-3500
- Medical Records / Release of Information: 404-616-4282
Address: 677 Church Street, Marietta, GA 30060
Main: 770-793-5000
- Main hospital line (operator): 770-793-5000
- Medical Records: 770-793-5100
- Patient Experience: 770-793-5801
Address: 1968 Peachtree Rd NW, Atlanta, GA 30309
Main: 404-605-5000
- Main hospital line (start here): 404-605-5000
Caregiver support groups (in and around Atlanta)
Meeting times can change—confirm on the organization’s site before you go.
Schedule: In-person. Meets on the last Thursday of each month, 5:30–6:30 p.m., in the dining room at Canterbury Court.
Address: Canterbury Court, 3750 Peachtree Road NE, Atlanta, GA 30319
Listing is hosted on the JF&CS Atlanta events calendar; see the event page for any holiday exceptions or updates.
Schedule: In-person. Meets on the first Tuesday of each month, 6:00–7:00 p.m., at Town Square Innovative Adult Day.
Address: Town Square Innovative Adult Day, 6150 Powers Ferry Rd NW, Sandy Springs, GA 30339
Listing is hosted on the JF&CS Atlanta events calendar; confirm the next meeting date on the event page before attending.
Local aging supports & caregiver resources
Phone: 866-552-4464
Good starting point for metro Atlanta families seeking local aging programs, caregiver resources, and waiver intake. Ask to be routed to the Area Agency on Aging for your county/region.
Address: Fulton County, GA (see department site for service locations)
Phone: 404-613-6000
Starting point for Fulton County senior services (including programs and referrals). Use the department site for current program details and locations.
Address: DeKalb County, GA (see county site for service locations)
Phone: 770-322-2950
DeKalb County entry point for senior services and referrals; verify eligibility and service area on the county website.
Address: Cobb County, GA (see county site for office details)
Phone: 770-528-5364
County care management services and resources; confirm current eligibility requirements and referral process on the county site.
Address: Capitol Region (Fulton, Cobb, Douglas) — see page for details
Phone: 470-691-1301
Point of contact for questions or concerns involving nursing homes, assisted living, and other long-term care settings in the Capitol Region.
Meals & nutrition support
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Meals on Wheels Atlanta
— 404-351-3889
— details
Home-delivered meals program serving older adults; eligibility and service area vary—confirm intake details on the website.
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Open Hand Atlanta
— 404-872-6947
— details
Nutrition and meal programs (including home-delivered options for eligible clients). Confirm eligibility and enrollment steps on the site.
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Atlanta Community Food Bank
— 404-892-3333
— details
Connects residents to local food pantries and programs; use the site to find partner agencies near your parent’s ZIP code.
In-home help (private pay)
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Right at Home — Atlanta
— 404-458-9455
— website
Local office contact page includes address and phone.
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Visiting Angels — Atlanta Midtown
— 404-939-9191
— website
Local office page includes address and phone.
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Home Instead — Atlanta service area (local office)
— 770-972-2273
— website
Service-area page lists the local office address and phone used for metro Atlanta coverage.
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Griswold Home Care — Buckhead & Sandy Springs
— 404-567-5208
— website
Local office contact page includes address and phone.
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SYNERGY HomeCare — North Atlanta
— 770-777-4781
— website
Local office listing includes address and phone.
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ComForCare Home Care — Northwest Metro Atlanta
— 678-872-2227
— website
Local office page includes address and phone.
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Comfort Keepers — Johns Creek
— 770-233-7494
— website
Local office page includes address and phone.
Home health, therapy & human services
A few common starting points. Confirm service area and insurance details directly.
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Amedisys Home Health Care — Atlanta
— 770-953-8570
— website
Local branch listing includes address and phone.
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Enhabit Home Health — Atlanta
— 678-732-3470
— website
Local branch listing includes address and phone.
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PruittHealth @ Home — Atlanta
— 404-297-9924
— website
Location page includes address and phone.
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Rehab Without Walls — Georgia (home & community-based rehab)
— 678-442-7861
— website
Regional office listing includes contact information; confirm service area and referral requirements on the site.
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Luna Physical Therapy — in-home visits (Atlanta area)
— 866-525-3175
— website
Scheduling is typically handled online or by phone; confirm availability by ZIP code.
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Magnolia Physical Therapy & Wellness — Mobile PT/OT (Atlanta)
— 678-343-6660
— website
Mobile therapy practice; confirm service area, visit availability, and intake requirements directly.
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KRU Mobile Physical Therapy (Atlanta)
— 404-907-0608
— website
Mobile PT practice; confirm appointment availability and service area directly.
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disABILITY LINK (Center for Independent Living)
— 404-687-8890
— website
Metro Atlanta resource for disability-related information, referrals, and support services.
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Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD)
— 404-657-2252
— website
State agency contact point for behavioral health and developmental disability services information; use the site to find program-specific contacts.
Hospice & palliative support
Address: 4040 Hospital West Drive, Austell, GA 30106
Phone: 770-732-6710
Hospice program contact for the Wellstar system (Cobb/Austell area).
Phone: 404-843-6500
Local contact line for VITAS services in the Atlanta area.
Phone: 404-869-3000
Program overview page includes the main phone number. Confirm current admission criteria and coverage area directly.
Georgia statewide programs & hotlines
Looking for more? Visit the full state resource page: Georgia.
Help numbers
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Georgia Division of Aging Services / Area Agency on Aging (AAA) — statewide intake line: (Aging services hotline)
866-552-4464
— website
Starting point for local aging resources and waiver screening. Ask to be connected to your local Area Agency on Aging. Use the number on the member ID card when contacting insurance plans.
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Georgia SHIP (State Health Insurance Assistance Program) — GeorgiaCares: (Medicare counseling (SHIP))
866-552-4464
— website
The SHIP page indicates callers should use the AAA number and select the SHIP option (verify the menu prompt before calling). Use the number on the member ID card when possible.
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Georgia Healthcare Facility Regulation (HFR) — long-term care facility complaints: (Long-term care facility complaints / regulation)
800-878-6442
— website
This line is for complaints involving licensed facilities (for example, nursing homes or assisted living). For non-facility situations, use APS guidance and local law enforcement as appropriate.
Official directories
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Medicare Plan Finder (compare Part D and Medicare Advantage plans)
Use this tool to compare plans and check formularies and networks. You can also call 1‑800‑MEDICARE for help.
Notable programs
Phone: 866-552-4464
The Georgia.gov page directs applicants to call the Area Agency on Aging (AAA) statewide number for screening and next steps.
Phone: 888-669-7195
The Georgia.gov page lists a statewide phone number for information and screening; verify current menu options when calling.
Overview of waiver program options and links to program details; use the individual program pages for the most specific application steps.
See the full state page: Georgia
National programs & directories
Helpful starting points for benefits and caregiver support that apply nationwide.
Use 1-800-MEDICARE for coverage questions, plan finder, claims, and appeals.
Phone: 800-633-4227
Find local Area Agencies on Aging, caregiver resources, and services by ZIP code.
Phone: 800-677-1116
Local referrals for food, housing, transportation, caregiving help, and more.
Phone: 211
24/7 crisis support. Dial 988.
Phone: 988
Benefits, replacement cards, and general SSA services.
Phone: 800-772-1213
Main VA information line.
Phone: 800-698-2411
Support and information for dementia caregivers.
Phone: 800-272-3900
SNAP is administered by states. Use the directory to find your state agency contact info.
Official directory for state Medicaid agencies.
Federal agency overseeing Medicare, Medicaid, and related programs.
Help finding food resources; also offers Spanish line 877-842-6273.
Phone: 866-348-6479
See the full national page: National resources
Medicare Advantage plan contacts (benefits & claims)
For plan-specific questions, the number on the member ID card is usually best. These are general member-services lines and contact pages.
If you’re not sure which Medicare Advantage or Part D plans are available locally, Medicare’s official Plan Finder is the most reliable starting point: Medicare Plan Finder.
Georgia plans
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UnitedHealthcare (Medicare Advantage) — member support
— 877-596-3258
— contact
For the fastest routing, use the phone number on the member ID card when available.
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Humana (Medicare Advantage) — customer service
— 800-457-4708
— contact
For the fastest routing, use the phone number on the member ID card when available.
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Aetna (Medicare Advantage) — member services
— 844-979-3435
— contact
For the fastest routing, use the phone number on the member ID card when available.
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Cigna (Medicare Advantage) — customer service
— 800-997-1654
— contact
For the fastest routing, use the phone number on the member ID card when available.
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Blue Cross Blue Shield — customer service (use member ID card)
— contact
BCBS instructs members to use the customer service number on the member ID card for plan-specific support.
National starting points
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Medicare (official program)
— 800-633-4227
— contact
Use the Plan Finder and your Medicare account for plan-level details.
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UnitedHealthcare Medicare plans
— 877-596-3258
— contact
General Medicare member line; members can also use the number on the ID card.
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Humana Medicare Advantage
— 800-457-4708
— contact
Customer Care; hours vary.
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Aetna Medicare
— 844-979-3435
— contact
Member Services number published by Aetna; use the ID card number when possible.
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Cigna Medicare
— 800-997-1654
— contact
Coverage/claims/Medicare information line; members can also use the number on their ID card.
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Blue Cross Blue Shield (state-specific plans)
— contact
BCBS customer service is state-based. For benefits/claims, call the number on the back of the member ID card or use the directory to find your local BCBS website.
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Anthem Blue Cross Blue Shield (select states)
— contact
Anthem contact info is state-specific. Members should use the number on the member ID card whenever possible.
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SHIP (State Health Insurance Assistance Program)
— contact
Free, unbiased Medicare counseling. Use the directory to find your state’s SHIP phone number.
How Averyn fits in
What we do
- Scheduling, rescheduling, and logistics confirmation
- Referral follow-up and “what’s the status?” persistence
- Portal monitoring for administrative threads and document retrieval
- Benefits questions support (where to look, what to ask, what to document)
- Written updates that keep siblings aligned
What we don’t do
- Medical advice, diagnosis, or triage
- Emergency response or 24/7 monitoring
- Clinical interpretation of labs or symptoms
This page is a non-exhaustive starting point for families coordinating care. Listings are informational and not endorsements. Contact details and availability can change—verify directly with each organization. Averyn Care provides non-clinical administrative coordination and is not an emergency service.
Last reviewed: 2026-01-11
Talk to an Averyn Care Navigator
If you’re coordinating care from across town or across the country, we can help you move the admin work forward—scheduling, referrals, portal threads, paperwork, and family updates.