Abidemi Marsh

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

4403 Kady CT
McDonough, GA 30252-3700

Phone

(404) 644-4198

NPI assigned

Apr 11, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Reinvent Your Identity,LLC

  • Clinic/Center
  • McDonough, GA
  • NPI 1235871013
  NPD Authorized official

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1346982121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 KADY CT",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302523700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 KADY CT",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302523700",
            "telephone_number": "404-644-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "ABIDEMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maran Healthcare LLC
• Najra Maric, PHARMD
• Mark Lynn OD & Associates
• Rachel Markham, LPC
• Markus and M.J LLC
• Carla Marshall
• Frederick Oneal Martin Jr.
• Hunter Christopher Martin, ATC
• Julie Martin, L.P.C.
• Ramona A Martinez, RN

• Health & Wellness Coach in McDonough, GA
• Providers in McDonough, GA by specialty
• Health & Wellness Coach in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.