Organization Active NPI

Heal and Grow, LLC

  • Prosthetics Case Management
  • Jonesboro, GA
National Provider Identifier
1902298003
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Legal business name
HEAL AND GROW, LLC
Practice address
330 Arrowhead Blvd
18A
Jonesboro, GA 30236-1105
Phone
(470) 210-4247
NPI assigned
Feb 26, 2015
Last updated
Feb 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Authorized official

Name
Mrs. Fontonya Myrick, CERT HAIR LOSS SPECNPI 1760874853
Title
Hair Loss Specialist/Trichologist
Phone
(470) 216-8183

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
Prosthetics Case ManagementGroup: 193400000X SINGLE SPECIALTY GROUP 1744P3200X Primary

Addresses

Primary practice location

330 Arrowhead Blvd
18A
Jonesboro, GA 30236-1105

Mailing address

330 Arrowhead Blvd
18A
Jonesboro, GA 30236-1105
Phone (470) 210-4247

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1902298003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 ARROWHEAD BLVD",
            "address_2": "18A",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361105",
            "telephone_number": "470-210-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 ARROWHEAD BLVD",
            "address_2": "18A",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361105",
            "telephone_number": "470-210-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL AND GROW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "MYRICK",
        "authorized_official_first_name": "FONTONYA",
        "authorized_official_title_or_position": "HAIR LOSS SPECIALIST/TRICHOLOGIST",
        "authorized_official_telephone_number": "470-216-8183",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CERT HAIR LOSS SPEC"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.