Organization Active NPI

Knu-Health Atlanta, Inc.

  • Mail Order Pharmacy
  • Atlanta, GA
National Provider Identifier
1265238117
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
Legal business name
KNU-HEALTH ATLANTA, INC.
Practice address
2215 Cheshire Bridge Rd NE Ste C
Atlanta, GA 30324-4234
Phone
(844) 552-5689
NPI assigned
Feb 21, 2025
Last updated
Feb 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Dawn DeporterNPI 1992506562
Title
Chief Operating Officer
Phone
(978) 335-6077

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

2215 Cheshire Bridge Rd NE Ste C
Atlanta, GA 30324-4234

Mailing address

2215 Cheshire Bridge Rd NE Ste C
Atlanta, GA 30324-4234

National Provider Directory

National Provider Directory

Locations

2215 Cheshire Bridge Rd NE
Ste C
Atlanta, GA 30324
Phone (404) 343-0088

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1265238117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 CHESHIRE BRIDGE RD NE STE C",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303244234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 CHESHIRE BRIDGE RD NE STE C",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303244234",
            "telephone_number": "844-552-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNU-HEALTH ATLANTA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "DEPORTER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "978-335-6077"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Feb 21, 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.