Organization Active NPI

Novora Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Locust Grove, GA
National Provider Identifier
1447124607
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NOVORA WELLNESS LLC
Practice address
7044 Blue Sky Dr
Locust Grove, GA 30248-3462
Phone
(470) 288-3147
NPI assigned
Oct 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Mrs. Kiara Shonta McCoy, MSN, APRN, PMHNP-BCNPI 1023833704
Title
Owner/Authorized Official
Phone
(470) 288-3147

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

7044 Blue Sky Dr
Locust Grove, GA 30248-3462

Mailing address

600 Westridge Pkwy Ste 714
McDonough, GA 30253-7789
Phone (470) 288-3147

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": "1759276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1447124607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WESTRIDGE PKWY STE 714",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302537789",
            "telephone_number": "470-288-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7044 BLUE SKY DR",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483462",
            "telephone_number": "470-288-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVORA WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "KIARA",
        "authorized_official_middle_name": "SHONTA",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "470-288-3147",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Locust Grove, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.