Trevis Gullatt, RN
Individual provider Active NPI Health & Wellness Coach · Hapeville, GA
NPI 1174400816 · NPPES record last updated Aug 15, 2025
Key facts
- NPI
- 1174400816
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health & Wellness Coach 171400000X
- Practice address
- 3409 Estelle St
Hapeville, GA 30354-1402 - Phone
- (404) 849-5973
- NPI assigned
- Aug 15, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210650 | GA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | Yes | ||
| Registered Nurse | 163W00000X | 210650 | GA |
Addresses
Primary practice location
3409 Estelle St
Hapeville, GA 30354-1402
Mailing address
685 Grady PL SW
Atlanta, GA 30310-2615
Phone (404) 849-5973
Other practice location 1
112 Rogers St NE Ste 1A
Atlanta, GA 30317-1094
Phone (404) 849-5973
Other providers in Hapeville, GA
- Ameera Fujah
- Fulton County Schools
- Tracy Gantlin-Monroy
- Samuel Gibson
- James Edward Golden II
- Hapeville Dialysis Center LLC
- Hapeville Health Center
- Hapeville Manor Assisted Living Facility, Inc
- Harandi, Harandi, Spelios and Associates Hapeville LLC
- Ali Harandifassih
All providers in Hapeville, GA · Health & Wellness Coach in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.