Organization Active NPI

Koshaliving LLC

  • Registered Dietitian
  • Atlanta, GA
National Provider Identifier
1972484608
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
KOSHALIVING LLC
Practice address
711 Cosmopolitan Dr NE
Atlanta, GA 30324-3600
Phone
(678) 915-2929
Fax
(404) 475-5571
NPI assigned
Sep 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Artina Thomas
Title
Senior Business Specialist
Phone
(770) 302-0499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

711 Cosmopolitan Dr NE
Atlanta, GA 30324-3600

Mailing address

PO Box 13245
Atlanta, GA 30324-0245
Phone (678) 915-2929

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260316003399 GA Part B Supplier - Clinic/Group Practice 1759864945 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": "1757376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1972484608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13245",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303240245",
            "telephone_number": "678-915-2929",
            "fax_number": "404-475-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 COSMOPOLITAN DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243600",
            "telephone_number": "678-915-2929",
            "fax_number": "404-475-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOSHALIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ARTINA",
        "authorized_official_title_or_position": "SENIOR BUSINESS SPECIALIST",
        "authorized_official_telephone_number": "770-302-0499"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "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 Sep 9, 2025; 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.