Organization Active NPI

Easylife

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • McDonough, GA
National Provider Identifier
1003530916
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
Legal business name
EASYLIFE
Doing business as
EasyLife
Practice address
1604 Zacharys Way
McDonough, GA 30253-9024
Phone
(678) 499-0105
NPI assigned
Oct 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Chidiebere Osondu, PMHNP
Title
Owner
Phone
(678) 499-0105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0808X Primary

Addresses

Primary practice location

1604 Zacharys Way
McDonough, GA 30253-9024

Mailing address

1659 Highway 20 W Ste 204
McDonough, GA 30253-7311
Phone (678) 499-0105

Other names 1

  • EasyLife Doing business as

National Provider Directory

National Provider Directory

Locations

1659 Highway 20 W
McDonough, GA 30253
Phone (678) 499-0105

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1003530916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1659 HIGHWAY 20 W STE 204",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302537311",
            "telephone_number": "678-499-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 ZACHARYS WAY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302539024",
            "telephone_number": "678-499-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASYLIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "OSONDU",
        "authorized_official_first_name": "CHIDIEBERE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-499-0105",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EasyLife",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.