NPIMap

Organization Active NPI

Gila Health and Wellness, LLC

  • Registered Dietitian
  • Atlanta, GA
National Provider Identifier
1386157972
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD004906 Issued in GA
Legal business name
GILA HEALTH AND WELLNESS, LLC
Practice address
1570 Beechcliff Dr NE
Atlanta, GA 30329-3826
Phone
(678) 653-6238
NPI assigned
Nov 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Authorized official

Name
Gila DamanNPI 1073885208
Title
Owner
Phone
(914) 907-2837

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X LD004906 GA Primary

Addresses

Primary practice location

1570 Beechcliff Dr NE
Atlanta, GA 30329-3826

Mailing address

1570 Beechcliff Dr NE
Atlanta, GA 30329-3826

National Provider Directory

National Provider Directory

Locations

2947 N Druid Hills Rd NE
Ste C
Atlanta, GA 30329
Phone (404) 585-1960

2865 N Druid Hills Rd NE
Atlanta, GA 30329

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1386157972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 BEECHCLIFF DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 BEECHCLIFF DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293826",
            "telephone_number": "678-653-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILA HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "DAMAN",
        "authorized_official_first_name": "GILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-907-2837"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD004906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.