Active NPI
Health-E LLC
- Family Medicine Physician
- Tucker, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HEALTH-E LLC
- Practice address
- 1462 Montreal Rd Ste 305
Tucker, GA 30084-6924 - Phone
- (704) 264-6041
- NPI assigned
- Oct 18, 2018
- 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. Akita Evans, MD
- Title
- Medical Director
- Phone
- (704) 264-6041
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1462 Montreal Rd Ste 305
Tucker, GA 30084-6924
Mailing address
1466 Country Squire Dr
Decatur, GA 30033-2414
Phone (770) 680-2949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003111402K | Medicaid | GA |
Other names 1
- Health-E Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2167153 | Health - E Medical Center | Certificate of waiver | Jun 3, 2027 |
National Provider Directory
National Provider DirectoryLocations
1462 Montreal Rd
Ste 305
Tucker, GA 30084
Phone (704) 264-6041
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Stone Mountain, GA
- NPI 1801007026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723766400000",
"number": "1982170817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1466 COUNTRY SQUIRE DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300332414",
"telephone_number": "770-680-2949",
"fax_number": "770-504-6045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1462 MONTREAL RD STE 305",
"city": "TUCKER",
"state": "GA",
"postal_code": "300846924",
"telephone_number": "704-264-6041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH-E LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-18",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "AKITA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "704-264-6041",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003111402K",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Health-E Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.