Organization Active NPI

Good Life Health LLC

  • Family Nurse Practitioner
  • Decatur, GA
National Provider Identifier
1992578728
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
GOOD LIFE HEALTH LLC
Practice address
4288 Memorial Dr Ste a
Decatur, GA 30032-1229
Phone
(404) 998-6321
NPI assigned
Nov 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

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.

Verify at the official NPI Registry.