Holistic Medical Services United LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

HOLISTIC MEDICAL SERVICES UNITED LLC

Practice address

11180 State Bridge Rd Ste 204
Johns Creek, GA 30022-7483

Phone

(943) 343-7313

NPI assigned

Jul 29, 2024

Organization subpart

No

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

Authorized official

Name

Shumeka Tareesa HillNPI 1164718797

Title

Ceo

Phone

(407) 377-5484

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, OH, IL, GA4 enrollments

Enrollment records 4

Locations

Practitioners 2

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

• Shumeka Tareesa Hill, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Johns Creek, GA
  • NPI 1164718797

  IL, IN, Multi-Specialty, OH

  Medicare reassignment NPD Authorized official
• Codie Jordan Vassar, M.D

  • Psychiatry Physician
  • Kenosha, WI
  • NPI 1538690995
  NPD (past)

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1700615820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11180 STATE BRIDGE RD STE 204",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300227483",
            "telephone_number": "943-343-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11180 STATE BRIDGE RD STE 204",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300227483",
            "telephone_number": "943-343-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC MEDICAL SERVICES UNITED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "SHUMEKA",
        "authorized_official_middle_name": "TAREESA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-377-5484"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Frances Hire, M.ED., CCC-SLP
• HN Dental Group LLC
• Alice Drusilla Hoag, EDD, LPC, CPCS
• Scott Hoff, MD
• Kathryn Hogan, CRNA
• Austin Gerald Hollen, D.C.
• Jennifer J Hong, PHARM D
• Soo Jin Hong
• Alaina Rae Hoofnagle
• Hope Family Medicine With Express Care LLC

• Psychiatric/Mental Health Nurse Practitioner in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.