Organization Active NPI

Drips in Motion Infusion Bar LLC

  • Family Nurse Practitioner
  • Conyers, GA
National Provider Identifier
1891571634
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
DRIPS IN MOTION INFUSION BAR LLC
Practice address
1360 Dogwood Dr SE Ste 104
Conyers, GA 30013-5077
Phone
(404) 451-4052
NPI assigned
Sep 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Etoyus Daniels, FNP
Title
Owner/Family Nurse Practitioner
Phone
(404) 451-4052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1360 Dogwood Dr SE Ste 104
Conyers, GA 30013-5077

Mailing address

1360 Dogwood Dr SE Ste 104
Conyers, GA 30013-5077
Phone (404) 451-4052

National Provider Directory

National Provider Directory

Locations

1360 Dogwood Dr SE
Ste 104
Conyers, GA 30013
Phone (404) 451-4052

NPI Registry JSON

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1891571634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 DOGWOOD DR SE STE 104",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300135077",
            "telephone_number": "404-451-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 DOGWOOD DR SE STE 104",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300135077",
            "telephone_number": "404-451-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRIPS IN MOTION INFUSION BAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "ETOYUS",
        "authorized_official_title_or_position": "OWNER/FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "404-451-4052",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.