Organization Active NPI

Heather Ivy Society

  • Pharmacy
  • Atlanta, GA
National Provider Identifier
1902713662
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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 SOCIETYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Zandraetta Tims CookNPI 1538216338
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)CodeLicenseStatePrimary
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 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": "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.

Verify at the official NPI Registry.