Active NPI
Heather Ivy Society
- Pharmacy
- Atlanta, GA
National Provider Identifier
1902713662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- HEATHER IVY SOCIETY
- Practice address
- 2193 Cascade Rd SW
Atlanta, GA 30311-2862 - Phone
- (844) 884-9691
- Fax
- (404) 907-4052
- NPI assigned
- Aug 26, 2026
- Organization subpart
- Yes
- Parent organization
- HEATHER IVY SOCIETY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zandraetta Tims Cook
- Title
- Executive Director
- Phone
- (615) 305-9006
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
2193 Cascade Rd SW
Atlanta, GA 30311-2862
Mailing address
2193 Cascade Rd SW
Atlanta, GA 30311-2862
Phone (844) 884-9691
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, and the practitioner matching its NPPES authorized official.
-
- Infectious Disease Physician
- Atlanta, GA
- NPI 1538216338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787702400000",
"number": "1902713662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2193 CASCADE RD SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303112862",
"telephone_number": "844-884-9691",
"fax_number": "404-907-4052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2193 CASCADE RD SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303112862",
"telephone_number": "844-884-9691",
"fax_number": "404-907-4052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEATHER IVY SOCIETY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HEATHER IVY SOCIETY",
"enumeration_date": "2026-08-26",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A",
"authorized_official_last_name": "TIMS COOK",
"authorized_official_first_name": "ZANDRAETTA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "615-305-9006"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.