Active NPI
PP&P Health Services
- Home Health Registered Nurse
- Woodstock, GA
National Provider Identifier
1104626787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- 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
- Organization subpart
- Yes
- Parent organization
- HYDR8ME IV LOUNGE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Petrino Pierce, RN
- Title
- Owner
- Phone
- (678) 832-8065
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | |||
| Home Health Registered Nurse | 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 Services
- 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.
-
- Community Health Registered Nurse
- Woodstock, GA
- NPI 1659286508
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.
-
- Registered Nurse
- Woodstock, GA
- NPI 1184584104
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.