Healthy USA Company LLC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

HEALTHY USA COMPANY LLC

Practice address

1147 S Hairston Rd
Stone Mountain, GA 30088-2720

Phone

(404) 947-1723

NPI assigned

Oct 17, 2023

Organization subpart

No

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

Authorized official

Name

Jexandria Dominique Patterson, FNPNPI 1093290629

Title

Ceo

Phone

(678) 462-6636

Specialties & licenses 1

Addresses

Other names 1

• Healthy USA Company LLC Other name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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.

• Jexandria Dominique Patterson, APRN

  • Family Nurse Practitioner
  • Decatur, GA
  • NPI 1093290629
  NPD Authorized official

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1336921006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55255",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303085255",
            "telephone_number": "678-462-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 S HAIRSTON RD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300882720",
            "telephone_number": "404-947-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY USA COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "JEXANDRIA",
        "authorized_official_middle_name": "DOMINIQUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-462-6636",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy USA Company LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Public Health or Welfare Agency in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Public Health or Welfare Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.