Organization Active NPI

Whole and Healthy Youth, LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Smyrna, GA
National Provider Identifier
1437502143
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
71280 Issued in GA
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20161025001705 GA Part B Supplier - Clinic/Group Practice 7911285051 Practice locations: Smyrna, GA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.