Organization Active NPI

Nourish Atl, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Snellville, GA
National Provider Identifier
1396606224
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
NOURISH ATL, LLC
Practice address
2245 Wisteria Dr Ste 200
Snellville, GA 30078-3799
Phone
(770) 637-9380
Fax
(770) 637-9380
NPI assigned
Nov 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Joanne Parks, PMHNP-BCNPI 1780198820
Title
Owner
Phone
(770) 828-9340

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2245 Wisteria Dr Ste 200
Snellville, GA 30078-3799

Mailing address

2483 Heritage VLG Ste 16-411
Snellville, GA 30078-6140
Phone (470) 784-1155

National Provider Directory

National Provider Directory

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": "1763596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1396606224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2483 HERITAGE VLG STE 16-411",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786140",
            "telephone_number": "470-784-1155",
            "fax_number": "770-637-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 WISTERIA DR STE 200",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783799",
            "telephone_number": "770-637-9380",
            "fax_number": "770-637-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISH ATL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-828-9340",
        "authorized_official_credential": "PMHNP-BC"
    },
    "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 Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.