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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LICENSURE | LD003790 | 01 |
| Street Address |
1905 WOODSTOCK RD STE 7100 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30075-5632 |
| 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 |
| 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 |
| Find all providers in zip 30075 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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|---|---|---|---|---|
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| 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 |
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| 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 |
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| 1245860816 | The Wellness Sanctuary, Inc | Clinic/Center | 206 Rogers St Ne Apt 117, Atlanta, GA 30317-1035 | 2020-01-22 |
| Find all providers with the same taxonomy | ||||
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| 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.