Georgia Healthy Minds LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

GEORGIA HEALTHY MINDS LLC

Practice address

707 Whitlock Ave SW Ste A40
Marietta, GA 30064-4654

Phone

(404) 282-8530

NPI assigned

Jul 6, 2022

Organization subpart

No

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

Authorized official

Name

Jayne Andrade, NP

Title

Cco

Phone

(404) 282-8530

Specialties & licenses 1

Addresses

Other names 1

• Georgia Healthy Minds Other name

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1144953258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 DALLAS HWY STE 200-193",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276318",
            "telephone_number": "678-939-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 WHITLOCK AVE SW STE A40",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644654",
            "telephone_number": "404-282-8530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 Dallas Hwy Ste 200-193",
            "address_purpose": "LOCATION",
            "city": "Powder Springs",
            "state": "GA",
            "postal_code": "301276318",
            "country_code": "US",
            "telephone_number": "404-282-8530",
            "fax_number": "404-282-8540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GEORGIA HEALTHY MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "ANDRADE",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "404-282-8530",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://luminello.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5200 Dallas Hwy Ste 200-193",
            "city": "Powder Springs",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301276318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Georgia Healthy Minds",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Georgia Healthy Minds",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Georgia Dental Wellness LLC
• Georgia Detox and Recovery, LLC
• Georgia Electro Diagnostic Providers P.C.
• Georgia Eye Specialists
• Georgia Healthcare Solutions, LLC.
• Georgia Home Health Service LLC Dba Brightstar Care
• Georgia Kidney Associates, Inc.
• Georgia Medical Resources Inc
• Georgia Neuropathy LLC
• Georgia Oral and Facial Surgery,LLC

• Psychiatric/Mental Health Nurse Practitioner in Marietta, GA
• Providers in Marietta, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.