Organization Active NPI

Nathaniel Flowers, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucker, GA
National Provider Identifier
1003604620
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NATHANIEL FLOWERS, LLC
Practice address
4893 Lavista Rd
Tucker, GA 30084-4436
Phone
(678) 235-5478
NPI assigned
Apr 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Nathaniel Flowers, LPCNPI 1013699081
Title
President
Phone
(404) 725-1973

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4893 Lavista Rd
Tucker, GA 30084-4436

Mailing address

1492 Macedonia Rd
Newnan, GA 30263-3945
Phone (404) 725-1973

Other practice location 1

3232 Memorial Dr
Decatur, GA 30032-3419
Phone (678) 235-5478

National Provider Directory

National Provider Directory

Locations

4893 Lavista Rd
Tucker, GA 30084
Phone (404) 374-3460

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1003604620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 MACEDONIA RD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302633945",
            "telephone_number": "404-725-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4893 LAVISTA RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844436",
            "telephone_number": "678-235-5478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3232 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300323419",
            "country_code": "US",
            "telephone_number": "678-235-5478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NATHANIEL FLOWERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-725-1973",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.