Hydr8Me IV Lounge

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

HYDR8ME IV LOUNGE

Practice address

7824 Hickory Flat Hwy Ste 130
Woodstock, GA 30188-6575

Phone

(678) 832-8065

Fax

(877) 599-6195

NPI assigned

Nov 12, 2025

Organization subpart

No

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

Authorized official

Name

Petrino Pierce, RNNPI 1508665761

Title

Owner

Phone

(678) 832-8065

Specialties & licenses 6

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• PP&P Health Services

  • Home Health Registered Nurse
  • Woodstock, GA
  • NPI 1104626787
  NPPES parent name

Practitioners 1

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

• Petrino Pernette Pierce, RN

  • Registered Nurse
  • Woodstock, GA
  • NPI 1508665761
  NPD Authorized official

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1184584104",
    "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": "678-832-8065",
            "fax_number": "877-599-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7824 HICKORY FLAT HWY STE 130",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886575",
            "telephone_number": "678-832-8065",
            "fax_number": "877-599-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDR8ME IV LOUNGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "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": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Andrew Hulse, MD
• Katelyn Hurley, MSW
• Sharlene Janice Hutchinson, R.N, C.N.S.
• Constance Hutto
• Jay Hwang, DDS, MS
• John Iaculli, DDS
• Ozge Idil, MD
• Ilya Wolfson M.D., Inc
• Imagix Dental of Hickory Flat LLC
• Independent Physical Therapy of Ga, LLC

• Registered Nurse in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.

Verify at the official NPI Registry.