Organization Active NPI

Neo Holistic Health LLC

  • Primary Care Clinic/Center
  • Atlanta, GA
National Provider Identifier
1972193142
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Jan 21, 2021

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

Authorized official

Name
Dr. Latonia Michelle Trawick, DNPNPI 1912310269
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)CodeLicenseStatePrimary
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 Doing business as
  • Neo Holistic Health LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210323001153 GA Part B Supplier - Clinic/Group Practice 2466869268 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA

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.

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.

Verify at the official NPI Registry.