Active NPI
Independently Healthy Wellness & Coaching LLC
- Health Service Clinic/Center
- Cumming, GA
National Provider Identifier
1760145122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- INDEPENDENTLY HEALTHY WELLNESS & COACHING LLC
- Practice address
- 102 Mary Alice Park Rd Ste 601
Cumming, GA 30040-2713 - Phone
- (470) 344-3934
- NPI assigned
- Oct 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anna Kolomitseva
- Title
- Ceo and Owner
- Phone
- (678) 787-9142
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
102 Mary Alice Park Rd Ste 601
Cumming, GA 30040-2713
Mailing address
102 Mary Alice Park Rd Ste 601
Cumming, GA 30040-2713
Phone (470) 344-3934
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962165498 | Medicaid | GA |
Other names 1
- Independently Healthy Wellness & Coaching LLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://ih-wc.com/ | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Naturopath
- Cumming, GA
- NPI 1962165498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788220800000",
"number": "1760145122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 MARY ALICE PARK RD STE 601",
"city": "CUMMING",
"state": "GA",
"postal_code": "300402713",
"telephone_number": "470-344-3934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 MARY ALICE PARK RD STE 601",
"city": "CUMMING",
"state": "GA",
"postal_code": "300402713",
"telephone_number": "470-344-3934"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDEPENDENTLY HEALTHY WELLNESS & COACHING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-21",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A",
"authorized_official_last_name": "KOLOMITSEVA",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "CEO AND OWNER",
"authorized_official_telephone_number": "678-787-9142",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1962165498",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://ih-wc.com/",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "102 Mary Alice Park Rd Ste 601",
"city": "Cumming",
"state": "GA",
"country_code": "US",
"postal_code": "300402713",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Independently Healthy Wellness & Coaching LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.