Organization Active NPI

Hygeia Health Inc

  • Physician Assistant
  • Tucker, GA
National Provider Identifier
1881295657
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
HYGEIA HEALTH INC
Practice address
3983 Lavista Rd Ste 195
Tucker, GA 30084-5154
Phone
(404) 946-6398
NPI assigned
Nov 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Authorized official

Name
Mr. Ricardo Ibarria
Title
Ceo
Phone
(404) 946-6398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

3983 Lavista Rd Ste 195
Tucker, GA 30084-5154

Mailing address

3983 Lavista Rd Ste 195
Tucker, GA 30084-5154
Phone (404) 946-6398

Other names 1

  • Quik Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210125003187 GA Part B Supplier - Clinic/Group Practice 0446664999 Receives reassigned benefits from 3 practitioners
Practice locations: Tucker, GA

National Provider Directory

National Provider Directory

Locations

3983 Lavista Rd
Tucker, GA 30084

3983 Lavista Rd
Ste 195
Tucker, GA 30084
Phone (404) 946-6398

Practitioners & affiliated clinicians

Practitioners 4

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": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1881295657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3983 LAVISTA RD STE 195",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845154",
            "telephone_number": "404-946-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3983 LAVISTA RD STE 195",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845154",
            "telephone_number": "404-946-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYGEIA HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "IBARRIA",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-946-6398",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quik Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.