The Lotus Haven PC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

THE LOTUS HAVEN PC

Practice address

950 Dannon VW SW Ste 4101
Atlanta, GA 30331-2159

Phone

(404) 944-1174

NPI assigned

Aug 25, 2020

Organization subpart

No

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

Authorized official

Name

Tyronjala Gainey- Grant, NPNPI 1659615342

Title

Ceo

Phone

(404) 944-1174

Specialties & licenses 4

Addresses

Other names 1

• The Lotus Haven PC Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

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

• Tyronjala Shontel Gainey-Grant, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Riverdale, GA
  • NPI 1659615342
  Medicare reassignment Care Compare group NPD Authorized official
• Travis L Harper Sr., LCSW

  • Clinical Social Worker
  • Atlanta, GA
  • NPI 1619702388
  Medicare reassignment Care Compare group NPD
• Amira J Johnson

  • Clinical Social Worker
  • Atlanta, GA
  • NPI 1801350434
  Medicare reassignment Care Compare group NPD
• Ayjanah Rasheeda Sherie Moore, FNP- C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Atlanta, GA
  • NPI 1871908095

  Family

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1164035564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 DUTCHVIEW DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303497642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 DANNON VW SW STE 4101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312159",
            "telephone_number": "404-944-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LOTUS HAVEN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "GAINEY- GRANT",
        "authorized_official_first_name": "TYRONJALA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-944-1174",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lotus Haven PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Lotus Haven PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, 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 Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.