Pure Health Medicine LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PURE HEALTH MEDICINE LLC

Doing business as

Pure Health Medicine LLC

Practice address

905 Saddle HL
Marietta, GA 30068-4915

Phone

(678) 842-8835

NPI assigned

Jul 19, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Paulette Decontee KpannahNPI 1740882877

Title

Owner

Phone

(678) 523-3663

Specialties & licenses 2

Addresses

Other names 1

• Pure Health Medicine LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paulette Decontee Kpannah, FNP

  • Family Nurse Practitioner
  • Marietta, GA
  • NPI 1740882877
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1548833452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3966 JEFFERSON TOWNSHIP PKWY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300661704",
            "telephone_number": "678-523-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SADDLE HL",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684915",
            "telephone_number": "678-842-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE HEALTH MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "KPANNAH",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_middle_name": "DECONTEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-523-3663",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Health Medicine LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pure Health Medicine LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra B. Pulaski, APRN
• Sarah Shirley Pullani, OTR
• Pulmonary Wellstar
• Amanda Stephens Purcell, BCBA
• Pure Guardian Care LLC
• Pure Rehab Physical Therapy LLC
• Puresight Surgical LLC
• Tashia Purnell, SERVICE COORDINATOR
• Meghan K Purohit, DO
• Tara C. Pursely, DMD

• Family Nurse Practitioner in Marietta, GA
• Providers in Marietta, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.