Restaura Health LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

RESTAURA HEALTH LLC

Practice address

924 W Spring St
Monroe, GA 30655-1751

Phone

(770) 266-0933

NPI assigned

Sep 25, 2018

Organization subpart

No

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

Authorized official

Name

Maribelle Verdiales, MD

Title

Ceo

Phone

(706) 248-6472

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1225513385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 W SPRING ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306551751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 W SPRING ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306551751",
            "telephone_number": "770-266-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTAURA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "VERDIALES",
        "authorized_official_first_name": "MARIBELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-248-6472",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleshia Reed
• Sally W Reeder, NP
• Zhenni Ren
• Angelica Renteria, DNP, PNP-PC
• Restaura GYN
• Sharon Richards
• Septima Hutchinson Riley, LCSW
• Leann Hardison Roberson, PT
• Ruth Ellen Roberts, MACCCSLP
• Michelle Robinson, NP-C

• All providers in Monroe, GA
• Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.