Organization Active NPI

Joyheart IV Clinic and Spa LLC

  • Infusion Therapy Clinic/Center
  • Lawrenceville, GA
National Provider Identifier
1578459772
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
JOYHEART IV CLINIC AND SPA LLC
Practice address
1420 Comet Ives LN
Lawrenceville, GA 30045-2283
Phone
(470) 784-1560
NPI assigned
Jun 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Monsurat A Abegunde, BSN, RN
Title
Owner/RN
Phone
(470) 784-1560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

1420 Comet Ives LN
Lawrenceville, GA 30045-2283

Mailing address

1420 Comet Ives LN
Lawrenceville, GA 30045-2283
Phone (470) 784-1560

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1578459772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 COMET IVES LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300452283",
            "telephone_number": "470-784-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 COMET IVES LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300452283",
            "telephone_number": "470-784-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOYHEART IV CLINIC AND SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-15",
        "status": "A",
        "authorized_official_last_name": "ABEGUNDE",
        "authorized_official_first_name": "MONSURAT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/RN",
        "authorized_official_telephone_number": "470-784-1560",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "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 Jun 16, 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.