Organization Active NPI

Envision Healthceuticals LLC

  • Durable Medical Equipment & Medical Supplies
  • Lawrenceville, GA
National Provider Identifier
1457129793
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ENVISION HEALTHCEUTICALS LLC
Practice address
629 Airport Rd Ste J
Lawrenceville, GA 30046-4474
Phone
(678) 251-8180
Fax
(770) 545-8840
NPI assigned
Dec 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Mrs. Mikelle Coleby
Title
Ceo
Phone
(678) 251-8180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

629 Airport Rd Ste J
Lawrenceville, GA 30046-4474

Mailing address

1137 Trophy Club Ave
Dacula, GA 30019-7583
Phone (678) 251-8180

National Provider Directory

National Provider Directory

Locations

629 Airport Rd
Ste E
Lawrenceville, GA 30046

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1457129793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 TROPHY CLUB AVE",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197583",
            "telephone_number": "678-251-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 AIRPORT RD STE J",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464474",
            "telephone_number": "678-251-8180",
            "fax_number": "770-545-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION HEALTHCEUTICALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-15",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "COLEBY",
        "authorized_official_first_name": "MIKELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-251-8180",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.