Active NPI
Due Health LLC
- Psychiatric/Mental Health Nurse Practitioner
- Dallas, GA
National Provider Identifier
1366122558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- DUE HEALTH LLC
- Practice address
- 457 Nathan Dean Blvd Ste 105-320
Dallas, GA 30132-4911 - Phone
- (470) 530-4002
- NPI assigned
- Jul 21, 2023
- 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
- Doris Elonu
- Title
- Founder
- Phone
- (470) 530-4002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
457 Nathan Dean Blvd Ste 105-320
Dallas, GA 30132-4911
Mailing address
457 Nathan Dean Blvd Ste 105-320
Dallas, GA 30132-4911
National Provider Directory
National Provider DirectoryLocations
457 Nathan Dean Blvd
Ste 105320
Dallas, GA 30132
Phone (470) 530-4002
4095 Atlanta Hwy
Ste 100
Hiram, GA 30141
Phone (470) 905-2842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720396800000",
"number": "1366122558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "457 NATHAN DEAN BLVD STE 105-320",
"city": "DALLAS",
"state": "GA",
"postal_code": "301324911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "457 NATHAN DEAN BLVD STE 105-320",
"city": "DALLAS",
"state": "GA",
"postal_code": "301324911",
"telephone_number": "470-530-4002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUE HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-21",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A",
"authorized_official_last_name": "ELONU",
"authorized_official_first_name": "DORIS",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "470-530-4002"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.