Active NPI
Good Life Health LLC
- Family Nurse Practitioner
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- GOOD LIFE HEALTH LLC
- Doing business as
- Good Life Health llc
- Practice address
- 4288 Memorial Dr Ste a
Decatur, GA 30032-1229 - Phone
- (404) 998-6321
- NPI assigned
- Nov 2, 2023
- Last updated
- Nov 2, 2023
- 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
- Shahzeen Rehman, NP
- Title
- Provider
- Phone
- (678) 641-2078
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
4288 Memorial Dr Ste a
Decatur, GA 30032-1229
Mailing address
3679 Lantern Walk LN
Scottdale, GA 30079-1892
Phone (678) 641-2078
Other names 1
- Good Life Health llc
National Provider Directory
National Provider DirectoryLocations
4288 Memorial Dr
Ste A
Decatur, GA 30032
Phone (678) 641-2075
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Scottdale, GA
- NPI 1619669637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698883200000",
"number": "1992578728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3679 LANTERN WALK LN",
"city": "SCOTTDALE",
"state": "GA",
"postal_code": "300791892",
"telephone_number": "678-641-2078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4288 MEMORIAL DR STE A",
"city": "DECATUR",
"state": "GA",
"postal_code": "300321229",
"telephone_number": "404-998-6321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD LIFE HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-02",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A",
"authorized_official_last_name": "REHMAN",
"authorized_official_first_name": "SHAHZEEN",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "678-641-2078",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Good Life Health llc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.