Organization Active NPI

To the Core Healing- LLC

  • Community/Behavioral Health Agency
  • Fayetteville, GA
National Provider Identifier
1861361693
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TO THE CORE HEALING- LLC
Practice address
105 Hickory Ave
Fayetteville, GA 30215-1801
Phone
(404) 275-2602
NPI assigned
Oct 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Authorized official

Name
Amelia Johns-RileyNPI 1699365866
Title
Director
Phone
(404) 275-2602

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

105 Hickory Ave
Fayetteville, GA 30215-1801

Mailing address

105 Hickory Ave
Fayetteville, GA 30215-1801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260320000573 GA Part B Supplier - Clinic/Group Practice 9638653330 Receives reassigned benefits from 1 practitioner
Practice locations: Peachtree City, GA

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": "1761868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1861361693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HICKORY AVE",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302151801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HICKORY AVE",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302151801",
            "telephone_number": "404-275-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TO THE CORE HEALING- LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-31",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "JOHNS-RILEY",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-275-2602"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.