Active NPI
Whole and Healthy Youth, LLC
- Addiction Medicine (Internal Medicine) Physician
- Smyrna, GA
National Provider Identifier
1437502143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- 71280
- Legal business name
- WHOLE AND HEALTHY YOUTH, LLC
- Practice address
- 3200 Highlands Pkwy SE
Suite 400
Smyrna, GA 30082-5166 - Phone
- (678) 388-0946
- NPI assigned
- Jul 18, 2016
- Last updated
- Jul 18, 2016
- 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
- Dr. Shonali Saha, MD
- Title
- Addiction Specialist
- Phone
- (770) 865-3748
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 71280 | GA | Primary |
Addresses
Primary practice location
3200 Highlands Pkwy SE
Suite 400
Smyrna, GA 30082-5166
Mailing address
3200 Highlands Pkwy SE
Suite 400
Smyrna, GA 30082-5166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161025001705 | GA | Part B Supplier - Clinic/Group Practice | 7911285051 | Practice locations: Smyrna, GA |
National Provider Directory
National Provider DirectoryLocations
3020 Highlands Pkwy SE
Ste G
Smyrna, GA 30082
Phone (678) 355-8722
3200 Highlands Pkwy SE
Ste 400
Smyrna, GA 30082
Phone (678) 388-0946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468800000000",
"number": "1437502143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 HIGHLANDS PKWY SE",
"address_2": "SUITE 400",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300825166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 HIGHLANDS PKWY SE",
"address_2": "SUITE 400",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300825166",
"telephone_number": "678-388-0946"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHOLE AND HEALTHY YOUTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-18",
"last_updated": "2016-07-18",
"status": "A",
"authorized_official_last_name": "SAHA",
"authorized_official_first_name": "SHONALI",
"authorized_official_title_or_position": "ADDICTION SPECIALIST",
"authorized_official_telephone_number": "770-865-3748",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "GA",
"license": "71280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.