Sydoine Mahou, NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN298645 Issued in GA

Practice address

1115 Mount Zion Rd Ste J
Morrow, GA 30260-2266

Phone

(770) 703-3549

Fax

(531) 200-7387

NPI assigned

Mar 9, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22835/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Unitedhands Health & Wellness Clinic LLC

  • Primary Care Nurse Practitioner
  • Morrow, GA
  • NPI 1366045130
  NPD

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1942895115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 REDDY FARM RD",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300171754",
            "telephone_number": "678-651-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 MOUNT ZION RD STE J",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602266",
            "telephone_number": "770-703-3549",
            "fax_number": "531-200-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHOU",
        "first_name": "SYDOINE",
        "credential": "NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN298645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "EHR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "DIRECT MESSAGING",
            "address_1": "1115 Mount Zion Rd Ste J",
            "city": "Morrow",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302602266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Luxottica of America Inc (Lenscrafters #8483)
• Luxottica of America Inc (For Eyes (Cm217))
• Luxottica of America Inc. (Pearle Vision #6288)
• Luxottica of America Inc. (Lenscrafters #689)
• Magnolia Comfort Medical South LLC
• Vera Mahou, NP
• Bradley Mannone, PT
• Gabriella Eliese Maris, MD
• Mark Lynn OD & Associates PC (Visionworks)
• Susan Mary Markle, O.T.R.

• Registered Nurse in Morrow, GA
• Providers in Morrow, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.