Individual provider Active NPI

Nicole Pierce, CMA / PHLEBOTOMIST

  • Health Service Clinic/Center
  • Sandy Springs, GA
National Provider Identifier
1831880244
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Practice address
7730 Roswell Rd Ste 400
Sandy Springs, GA 30350-4843
Phone
(678) 239-4046
NPI assigned
May 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Clinical Medical Laboratory 291U00000X 11D2284596 GA
Phlebotomy Technician 246RP1900X PTC-8786

Addresses

Primary practice location

7730 Roswell Rd Ste 400
Sandy Springs, GA 30350-4843

Mailing address

7730 Roswell Rd Ste 400
Sandy Springs, GA 30350-4843
Phone (678) 239-4046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Medical Assistant

State licenses

LicenseStateTypeSpecialty
11D2284596GAMDClinical Medical Laboratory

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Health Solutions, LLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

7730 Roswell Rd
Ste 400
Sandy Springs, GA 30350
Phone (678) 239-4046

2284 Old Concord Rd SE
Ste E
Smyrna, GA 30082

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1831880244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 ROSWELL RD STE 400",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303504843",
            "telephone_number": "678-239-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 ROSWELL RD STE 400",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303504843",
            "telephone_number": "678-239-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "NICOLE",
        "credential": "CMA / PHLEBOTOMIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "11D2284596",
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": "PTC-8786",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

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