Active NPI
Koshaliving LLC
- Registered Dietitian
- Atlanta, GA
National Provider Identifier
1972484608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260316003399 | GA | Part B Supplier - Clinic/Group Practice | 1759864945 | Practice locations: Atlanta, GA |
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.
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.