Organization Active NPI

Independently Healthy Wellness & Coaching LLC

  • Health Service Clinic/Center
  • Cumming, GA
National Provider Identifier
1760145122
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Dr. Anna KolomitsevaNPI 1962165498
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1962165498MedicaidGA

Other names 1

  • Independently Healthy Wellness & Coaching LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://ih-wc.com/ Direct

National Provider Directory

National Provider Directory

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": "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"
        }
    ]
}

Other providers in Cumming, GA

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.

Verify at the official NPI Registry.