ACTIVATE YOUR HEALTH NUTRITION, LLC


Address: 1905 Woodstock Rd Ste 7100, Roswell, GA 30075-5632
Phone: 6783797882

ACTIVATE YOUR HEALTH NUTRITION, LLC (NPI# 1407328776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407328776
Entity Type Organization
Organization Name ACTIVATE YOUR HEALTH NUTRITION, LLC
Practice Address 1905 Woodstock Rd Ste 7100
Roswell
GA 30075-5632
Mailing Address 241 Cornerstone Dr
Woodstock
GA 30188-5414
Practice Telephone 6783797882
Enumeration Date 2018-12-26
Last Update Date 2018-12-26
Authorized Official Name ASHLEY MECCIA (OWNER)
Authorized Official Telephone 6783797882
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
GA LICENSURE LD003790 01

Office Location

Street Address 1905 WOODSTOCK RD STE 7100
City ROSWELL
State GA
Zip Code 30075-5632

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558694281 Matthew Leone Meccia Chiropractor 1905 Woodstock Rd Ste 7100, Roswell, GA 30075-5632 2009-09-14
1629548326 Ashley Meccia Dietitian, Registered 1905 Woodstock Rd Ste 7100, Roswell, GA 30075-5632 2018-11-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851889539 William Shelton Green Specialist/Technologist 1055 Riceland Ct, Roswell, GA 30075 2018-04-27
1043712524 Lena Claire Morison Music Therapist 12060 Etris Rd. #200, Roswell, GA 30075 2018-03-01
1790232031 Christina Danielle Dicioccio Physician Assistant 11040 Crabapple Rd # Suiea, Roswell, GA 30075 2016-09-02
1720531767 Arbor Cove Therapy LLC Social Worker 981 Canton St, Suite 200-e, Roswell, GA 30075 2016-07-26
1740640887 Christina C Plaice Counselor 10882 Crabapple Road, Suite 2, Roswell, GA 30075 2016-03-02
1215316435 Jlm X-ray LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 1015 Canton Street, Roswell, GA 30075 2015-05-20
1174953624 Ellen Terrell Occupational Therapist 10050 Crabapple Road, Suite D-115a, Roswell, GA 30075 2013-11-20
1114269974 Patricia E Hernandez Nurse Practitioner 10479 Alpharetta St Ste 18, Roswell, GA 30075 2013-03-20
1750623658 The George Center Foundation Music Therapist 1206 Etris Rd., Suite 200, Roswell, GA 30075 2013-03-19
1407187735 Rachael Anne Templeton Chiropractor 593 Atlanta Street, Gorman Chiropractic, Roswell, GA 30075 2010-01-27
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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NPI Name Taxonomy Address Enumeration
1770122277 Mind & Body Healthcare LLC Clinic/Center 1700 N Union Ave, Roswell, NM 88201-3267 2019-12-31
1962973156 Regenerative Therapy of Georgia, LLC Clinic/Center 875 Old Roswell Rd Ste F100, Roswell, GA 30076-1658 2018-12-16
1073952123 Whole Body Medical LLC Clinic/Center 500 Sun Valley Dr, Ste. A-2, Roswell, GA 30076-1482 2013-06-21
1588943070 Gkm Healthcare Solutions, LLC Clinic/Center 1150 Grimes Bridge Rd, Suite 400, Roswell, GA 30075-3988 2011-08-15
1427336098 Roswell Family Chiropractic and Wellness Pa Clinic/Center 100 E Linda Vista Blvd, Roswell, NM 88201-6654 2011-07-29
1811219876 Complete Medical Services LLC Clinic/Center 109 W Bland St, Roswell, NM 88203-5708 2010-02-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1467066639 Luminous Care, LLC Clinic/Center 285 Boulevard Ne Ste 145, Atlanta, GA 30312-4204 2020-09-03
1558974709 Medlife Healthcare Clinic/Center 2129 Friendship Rd, Flowery Branch, GA 30542 2020-08-27
1679181168 Guardian Health Group Clinic/Center 6296 Cheatham Lake Dr Nw, Acworth, GA 30101-7642 2020-07-21
1851909857 100 Percent Nutrition LLC Clinic/Center 8425 Waldrip Rd, Gainesville, GA 30506-5774 2020-07-16
1487271342 Temak Telehealth Clinic/Center 635 Granville Ct, Atlanta, GA 30328-3445 2020-06-26
1992321301 Hope Harbor Wellness LLC Clinic/Center 126 Enterprise Path Ste 208, Hiram, GA 30141-2654 2020-06-22
1447875307 Georgia Palliative Services, LLC Clinic/Center 3660 Cedarcrest Rd Ste 120, Acworth, GA 30101-8928 2020-06-16
1548884000 2 Wolves Inc Clinic/Center 783 S Main St Ste 5, Cleveland, GA 30528-4519 2020-06-01
1245860816 The Wellness Sanctuary, Inc Clinic/Center 206 Rogers St Ne Apt 117, Atlanta, GA 30317-1035 2020-01-22
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Competitor

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City ROSWELL
Zip Code 30075

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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