Knu-Health Atlanta, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KNU-HEALTH ATLANTA, INC.

Practice address

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

Phone

(978) 335-6077

NPI assigned

Nov 12, 2024

Organization subpart

No

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

Authorized official

Name

Dawn Deporter, RPHNPI 1992506562

Title

Chief Operating Officer

Phone

(978) 335-6077

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

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

• Dawn Deporter, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Baton Rouge, LA
  • NPI 1992506562
  NPD Authorized official

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1295559656",
    "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",
            "telephone_number": "978-335-6077"
        },
        {
            "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": "978-335-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNU-HEALTH ATLANTA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "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",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail 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": []
}

• John Knox, MD
• Kenneth M Knox, DC
• Kiara Knox, LCSW
• Kimberley Knox, MA, LPC, NCC
• Knu-Health Atlanta, Inc.
• Irina M Knudsen, N.P.
• Jessica Knudsen
• Christopher Jack Malone Knudson, MD
• Eunbi Tina Ko
• Frank Ko, PT

• Community/Retail Pharmacy in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.