Ener Drip IV Infusion & Med Spa

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

ENER DRIP IV INFUSION & MED SPA

Practice address

3993 Lawrenceville Hwy NW Ste 115
Lilburn, GA 30047-2831

Phone

(229) 319-8267

NPI assigned

Apr 21, 2021

Organization subpart

No

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

Authorized official

Name

Earlyce Robinson

Title

Owner

Phone

(229) 319-8267

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23922/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Shanice Mosley

  • Surgical Technologist
  • Lawrenceville, GA
  • NPI 1659954055
  NPD

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1295317154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 WAYWARD WIND DR SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300476433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3993 LAWRENCEVILLE HWY NW STE 115",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472831",
            "telephone_number": "229-319-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENER DRIP IV INFUSION & MED SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "EARLYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-319-8267"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL DIRECTOR",
            "identifier": "1306853577",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@enerdrip.com",
            "affiliation": "N",
            "address_1": "3993 Lawrenceville Hwy NW Ste 115",
            "city": "Lilburn",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300472831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Omoyeme Aliceson Ehizuelen, APRN, PMHNP-BC
• Gloria Jan T. Eidson, RPH
• Jaliyah Eisom
• Manal Elouthmani
• Elrod and Price, P.C.
• Laverne J Enrique-Lofton, NP
• Entrainment Consulting & Counseling & Education Services, LLC
• Enw Dentistry PC Dba
• Vincent J. Erario Jr., D.C.
• Erin M. Floyd, PH.D., LLC

• Health Service Clinic/Center in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Health Service Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.