Organization Active NPI

Gateway to Life Natural Healing Center LLC

  • Family Medicine Physician
  • Peachtree Corners, GA
National Provider Identifier
1639917446
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GATEWAY TO LIFE NATURAL HEALING CENTER LLC
Practice address
3475 Holcomb Bridge Rd Ste 200B
Peachtree Corners, GA 30092-3116
Phone
(470) 275-4993
NPI assigned
Jul 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Arin Adams
Title
Ceo/ Administration
Phone
(470) 589-9046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3475 Holcomb Bridge Rd Ste 200B
Peachtree Corners, GA 30092-3116

Mailing address

3475 Holcomb Bridge Rd Ste 200B
Peachtree Corners, GA 30092-3116
Phone (470) 275-4993

Other names 1

  • Gateway To Life Natural Healing Clinic Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250303001966 GA Part B Supplier - Clinic/Group Practice 1759802036 Receives reassigned benefits from 1 practitioner
Practice locations: Peachtree Corners, GA

National Provider Directory

National Provider Directory

Locations

3937 Holcomb Bridge Rd
Ste 100
Peachtree Corners, GA 30092

3475 Holcomb Bridge Rd
Ste 200B
Peachtree Corners, GA 30092
Phone (470) 275-4993

Practitioners & affiliated clinicians

Practitioners 2

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": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1639917446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 HOLCOMB BRIDGE RD STE 200B",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300923116",
            "telephone_number": "470-275-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 HOLCOMB BRIDGE RD STE 200B",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300923116",
            "telephone_number": "470-275-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY TO LIFE NATURAL HEALING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ARIN",
        "authorized_official_title_or_position": "CEO/ ADMINISTRATION",
        "authorized_official_telephone_number": "470-589-9046"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway To Life Natural Healing Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Gateway To Life Natural Healing Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Peachtree Corners, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.