Organization Active NPI

Lemon Juice Healthcare Services LLC

  • State or Local Public Health Clinic/Center
  • Dacula, GA
National Provider Identifier
1427769405
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
LEMON JUICE HEALTHCARE SERVICES LLC
Practice address
2817 James Henry Dr
Dacula, GA 30019-7553
Phone
(404) 452-6450
NPI assigned
Dec 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Vonita IsidoreNPI 1205535853
Title
Cna
Phone
(678) 372-3119

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

2817 James Henry Dr
Dacula, GA 30019-7553

Mailing address

2817 James Henry Dr
Dacula, GA 30019-7553
Phone (404) 452-6450

Other identifiers 4

IdentifierTypeStateIssuer
081916MedicaidWI
252Y00000XMedicaidGA
100302415MedicaidWI
261QP0905XOtherGACLINC/CENTER//PUBLIC HEALTH/STATE OR LOCAL

Other names 3

  • LEMON JUICE HEALTHCARE SERVICE LLC Doing business as
  • Lemon Juice MD Doing business as
  • VONITA ISIDORE Former legal business name

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1670544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1427769405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 JAMES HENRY DR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197553",
            "telephone_number": "404-452-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 JAMES HENRY DR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197553",
            "telephone_number": "404-452-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEMON JUICE HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-09",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "ISIDORE",
        "authorized_official_first_name": "VONITA",
        "authorized_official_title_or_position": "CNA",
        "authorized_official_telephone_number": "678-372-3119"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081916",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252Y00000X",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100302415",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINC/CENTER//PUBLIC HEALTH/STATE OR LOCAL",
            "identifier": "261QP0905X",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEMON JUICE HEALTHCARE SERVICE LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LEMON JUICE HEALTHCARE SERVICE LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lemon Juice MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VONITA ISIDORE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dacula, GA

Sources for this page

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