Organization Active NPI

Za1603 LC

  • Point of Service
  • Lithonia, GA
National Provider Identifier
1649130311
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
ZA1603 LC
Practice address
1824 Herringbone Holw
Lithonia, GA 30058-5516
Phone
(470) 486-9860
NPI assigned
Nov 14, 2025
Organization subpart
Yes
Parent organization
ZA1603 LCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Dashna Louis-CharlesNPI 1477429710
Title
Clinician Specialist
Phone
(470) 486-9860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

1824 Herringbone Holw
Lithonia, GA 30058-5516

Mailing address

1824 Herringbone Holw
Lithonia, GA 30058-5516
Phone (470) 486-9860

National Provider Directory

National Provider Directory
Part of
Za1603 LC

Practitioners & affiliated clinicians

Practitioners 1

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": "1763078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1649130311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 HERRINGBONE HOLW",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585516",
            "telephone_number": "470-486-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 HERRINGBONE HOLW",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585516",
            "telephone_number": "470-486-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZA1603 LC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ZA1603 LC",
        "enumeration_date": "2025-11-14",
        "last_updated": "2025-11-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "LOUIS-CHARLES",
        "authorized_official_first_name": "DASHNA",
        "authorized_official_title_or_position": "CLINICIAN SPECIALIST",
        "authorized_official_telephone_number": "470-486-9860"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.