Primal Healthcare Systems Inc

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

PRIMAL HEALTHCARE SYSTEMS INC

Practice address

2220 Atlanta Rd SE Ste 102
Smyrna, GA 30080-1541

Phone

(404) 421-4260

NPI assigned

Sep 17, 2026

Organization subpart

No

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

Authorized official

Name

Venetta Mwengella

Title

Owner

Phone

(404) 421-4260

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1326950171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 MARKETPLACE BLVD STE 130",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445940",
            "telephone_number": "404-421-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 ATLANTA RD SE STE 102",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300801541",
            "telephone_number": "404-421-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMAL HEALTHCARE SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "MWENGELLA",
        "authorized_official_first_name": "VENETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-421-4260"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.