NPIMap

Organization Active NPI

PP&P Health Services

  • Home Health Registered Nurse
  • Woodstock, GA
National Provider Identifier
1104626787
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
PP&P HEALTH SERVICES
Practice address
211 Payton PL
Woodstock, GA 30188-3185
Phone
(678) 835-8065
Fax
(877) 599-6195
NPI assigned
Mar 14, 2025
Last updated
Mar 26, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HYDR8ME IV LOUNGEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Petrino Pierce, RNNPI 1508665761
Title
Owner
Phone
(678) 832-8065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC1500X
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X Primary
Home Health Agency 251E00000X
Home Infusion Agency 251F00000X
Nursing Care Agency 251J00000X
Health Maintenance Organization 302R00000X
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

211 Payton PL
Woodstock, GA 30188-3185

Mailing address

211 Payton PL
Woodstock, GA 30188-3185
Phone (678) 835-8065

Other practice location 1

7824 Hickory Flat Hwy Ste 130
Woodstock, GA 30188-6575
Phone (678) 835-8065

National Provider Directory

National Provider Directory
Tax ID family
PPP Health Services2 organizations share this tax ID, including this one
Part of
Hydr8Me IV Lounge

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1104626787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 PAYTON PL",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883185",
            "telephone_number": "678-835-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 PAYTON PL",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883185",
            "telephone_number": "678-835-8065",
            "fax_number": "877-599-6195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7824 Hickory Flat Hwy Ste 130",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301886575",
            "country_code": "US",
            "telephone_number": "678-835-8065",
            "fax_number": "877-599-6195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PP&P HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HYDR8ME IV LOUNGE",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "PETRINO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-832-8065",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.