NPIMap

Organization Active NPI

Healthy Luc, Inc

  • Urgent Care Clinic/Center
  • Smyrna, GA
National Provider Identifier
1689404600
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
HEALTHY LUC, INC
Practice address
2635 S Cobb Dr SE
Smyrna, GA 30080-1845
Phone
(404) 910-9116
Fax
(470) 781-2674
NPI assigned
Aug 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Dr. Taki Momin, MD
Title
Ceo
Phone
(404) 910-9116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

2635 S Cobb Dr SE
Smyrna, GA 30080-1845

Mailing address

2635 S Cobb Dr SE
Smyrna, GA 30080-1845
Phone (404) 910-9116

Other names 1

  • Healthy living Urgent Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1689404600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 S COBB DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300801845",
            "telephone_number": "404-910-9116",
            "fax_number": "470-781-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 S COBB DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300801845",
            "telephone_number": "404-910-9116",
            "fax_number": "470-781-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LUC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "MOMIN",
        "authorized_official_first_name": "TAKI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-910-9116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy living Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.