Myhealth Medical Group

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MYHEALTH MEDICAL GROUP

Practice address

4232 Defoors Farm TRL
Powder Springs, GA 30127-4067

Phone

(678) 548-5653

NPI assigned

Jun 16, 2014

Organization subpart

No

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

Authorized official

Name

Loretta Fitzpatrick

Title

Managing Director

Phone

(404) 826-0022

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505347200000",
    "number": "1780098939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2572",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301277535",
            "telephone_number": "404-826-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4232 DEFOORS FARM TRL",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301274067",
            "telephone_number": "678-548-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYHEALTH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2017-09-14",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "404-826-0022"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; 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.