Organization Active NPI

Compass Medical Resources & Concierge

Doing business as The Detoxologoist Nurse

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Duluth, GA
National Provider Identifier
1225796055
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X
Legal business name
COMPASS MEDICAL RESOURCES & CONCIERGE
Doing business as
The Detoxologoist Nurse
Practice address
3296 Summit Ridge Pkwy Ste 920
Duluth, GA 30096-1625
Phone
(424) 535-4203
NPI assigned
Nov 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Authorized official

Name
Mrs. Angela Lee, RNNPI 1548938988
Title
Manger
Phone
(424) 535-4203

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity and Weight Management Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133VN1201X Primary

Addresses

Primary practice location

3296 Summit Ridge Pkwy Ste 920
Duluth, GA 30096-1625

Mailing address

1035 Scales Rd Apt 5206
Suwanee, GA 30024-4591
Phone (424) 535-4203

Other names 1

  • The Detoxologoist Nurse Doing business as

National Provider Directory

National Provider Directory

Locations

3296 Summit Ridge Pkwy
Ste 920
Duluth, GA 30096
Phone (424) 535-4203

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1225796055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 SCALES RD APT 5206",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244591",
            "telephone_number": "424-535-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3296 SUMMIT RIDGE PKWY STE 920",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961625",
            "telephone_number": "424-535-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS MEDICAL RESOURCES & CONCIERGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "424-535-4203",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Detoxologoist Nurse",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.