Active NPI
To the Core Healing- LLC
- Community/Behavioral Health Agency
- Fayetteville, GA
National Provider Identifier
1861361693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amelia Johns-Riley
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Sharpsburg, GA
- NPI 1699365866
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.