Active NPI
Unitedhands Health & Wellness Clinic LLC
- Primary Care Nurse Practitioner
- Morrow, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- UNITEDHANDS HEALTH & WELLNESS CLINIC LLC
- Practice address
- 1115 Mount Zion Rd
Morrow, GA 30260-2266 - Phone
- (404) 883-9140
- NPI assigned
- Nov 16, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vera Mahou, NP
- Title
- NP-C
- Phone
- (404) 883-9140
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | |||
| Gerontology Nurse Practitioner | 363LG0600X | |||
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
1115 Mount Zion Rd
Morrow, GA 30260-2266
Mailing address
1001 Reddy Farm Rd
Grayson, GA 30017-1754
Phone (404) 883-9140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2209202 | Unitedhands Health & Wellness Clinic LLC | Certificate of waiver | Jan 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
1115 Mount Zion Rd
Morrow, GA 30260
Phone (404) 883-9140
4864 Jimmy Carter Blvd
Norcross, GA 30093
Phone (678) 280-6630
Interoperability endpoints
- https://api.platform.athenahealth.com/22835/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Morrow, GA
- NPI 1598278558
-
- Family Nurse Practitioner
- Atlanta, GA
- NPI 1811134133
-
- Family Nurse Practitioner
- Stone Mountain, GA
- NPI 1407458102
-
- Psychiatric/Mental Health Nurse Practitioner
- Decatur, GA
- NPI 1619459542
-
- Registered Nurse
- Morrow, GA
- NPI 1942895115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615248000000",
"number": "1366045130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 REDDY FARM RD",
"city": "GRAYSON",
"state": "GA",
"postal_code": "300171754",
"telephone_number": "404-883-9140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 MOUNT ZION RD",
"city": "MORROW",
"state": "GA",
"postal_code": "302602266",
"telephone_number": "404-883-9140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITEDHANDS HEALTH & WELLNESS CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-16",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A",
"authorized_official_last_name": "MAHOU",
"authorized_official_first_name": "VERA",
"authorized_official_title_or_position": "NP-C",
"authorized_official_telephone_number": "404-883-9140",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morrow, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.