Ruby & Pearl Wellness

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

RUBY & PEARL WELLNESS

Practice address

2180 Satellite Blvd Ste 400
Duluth, GA 30097-4927

Phone

(404) 480-2760

Fax

(949) 703-8760

NPI assigned

Apr 7, 2025

Last updated

Apr 7, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nichelle Latoya Jackson, FNP-C, PMHNP-BCNPI 1972154722

Title

Owner

Phone

(404) 480-2760

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nichelle Jackson, MSN, NP-BC

  • Nurse Practitioner
  • Atlanta, GA
  • NPI 1972154722
  NPD Authorized official

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1538953245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 ASHTON PARK DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300457277",
            "telephone_number": "404-480-2760",
            "fax_number": "949-703-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 SATELLITE BLVD STE 400",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974927",
            "telephone_number": "404-480-2760",
            "fax_number": "949-703-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBY & PEARL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "NICHELLE",
        "authorized_official_middle_name": "LATOYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-480-2760",
        "authorized_official_credential": "FNP-C, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Morgan Rowland, M.D.
• Roy C. Moscattini DDS PC
• Yeisha Lashawn Royal
• Juliana Royer
• Jaydine Royes
• Noelle E Ruddock-Solomon, M.D.
• Oriana La'Niece Ruiz-Suarez
• Alexandra Leigh Ruiz
• Demetris Estella Rush, DDS
• Robert Randall Rusher, MD

• Primary Care Clinic/Center in Duluth, GA
• Providers in Duluth, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.