Organization Active NPI

Sunhaven Healthcare LLC

  • Primary Care Clinic/Center
  • Atlanta, GA
National Provider Identifier
1174248314
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SUNHAVEN HEALTHCARE LLC
Practice address
92 W Paces Ferry Rd NW Unit 7016
Atlanta, GA 30305-1470
Phone
(404) 438-7346
NPI assigned
Oct 10, 2022
Last updated
Oct 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Authorized official

Name
Mrs. Jennifer Okere, NP
Title
Nurse Practitioner
Phone
(404) 438-7346

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

92 W Paces Ferry Rd NW Unit 7016
Atlanta, GA 30305-1470

Mailing address

575 Pharr Rd NE Unit 52906
Atlanta, GA 30355-4076

National Provider Directory

National Provider Directory

Locations

575 Pharr Rd NE
Unit 52906
Atlanta, GA 30355

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1174248314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 PHARR RD NE UNIT 52906",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303554076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 W PACES FERRY RD NW UNIT 7016",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051470",
            "telephone_number": "404-438-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNHAVEN HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "OKERE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "404-438-7346",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.