Active NPI
Neo Holistic Health LLC
- Primary Care Clinic/Center
- Atlanta, GA
National Provider Identifier
1972193142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- NEO HOLISTIC HEALTH LLC
- Doing business as
- Latonia Trawick
Neo Holistic Health LLC - Practice address
- 1747 Boulder Walk LN SE
Atlanta, GA 30316-3990 - Phone
- (404) 423-8158
- NPI assigned
- Jan 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Latonia Michelle Trawick, DNP
- Title
- Owner/Employee
- Phone
- (404) 423-8158
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
1747 Boulder Walk LN SE
Atlanta, GA 30316-3990
Mailing address
1747 Boulder Walk LN SE
Atlanta, GA 30316-3990
Phone (404) 423-8158
Other names 2
- Latonia Trawick
- Neo Holistic Health LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
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.
-
- Family Nurse Practitioner
- Atlanta, GA
- NPI 1912310269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611187200000",
"number": "1972193142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1747 BOULDER WALK LN SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303163990",
"telephone_number": "404-423-8158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1747 BOULDER WALK LN SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303163990",
"telephone_number": "404-423-8158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEO HOLISTIC HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-21",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A",
"authorized_official_last_name": "TRAWICK",
"authorized_official_first_name": "LATONIA",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER/EMPLOYEE",
"authorized_official_telephone_number": "404-423-8158",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Latonia Trawick",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Neo Holistic Health LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.