Organization Active NPI

Galleria Blueprint

  • Community Health Worker
  • Atlanta, GA
National Provider Identifier
1821925165
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
GALLERIA BLUEPRINT
Practice address
595 Northridge Rd
Atlanta, GA 30350-6129
Phone
(305) 401-3541
NPI assigned
May 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Authorized official

Name
Decarlo Serrano
Title
Owner
Phone
(305) 401-3541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

595 Northridge Rd
Atlanta, GA 30350-6129

Mailing address

3905 Norwood Dr
McKinney, TX 75071-7270
Phone (305) 401-3541

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1778198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1821925165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 NORWOOD DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717270",
            "telephone_number": "305-401-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 NORTHRIDGE RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303506129",
            "telephone_number": "305-401-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLERIA BLUEPRINT",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-08",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "DECARLO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-401-3541"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.