LIVING HEALTHY MEDICAL LLC – NPI #1053665653
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

LIVING HEALTHY MEDICAL LLC is a provider located in ALPHARETTA, GA. NPPES has assigned the NPI number 1053665653 to LIVING HEALTHY MEDICAL LLC on November 04, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 10 years ago on Dec 09, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIVING HEALTHY MEDICAL LLC below.

NPI Profile for
LIVING HEALTHY MEDICAL LLC

NPI Number
1053665653
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIVING HEALTHY MEDICAL LLC
Primary location
5755 NORTH POINT PARKWAY
SUITE # 89
ALPHARETTA, GA 30022-1150
Phone: (770) 450-4225 Fax:
Mailing address
4965 NORTHRIDGE DR.
CUMMING, GA 30040-1780
Phone: (770) 597-7829 Fax:
Organization Subpart
No
Authorized Official
GARY JOHNS
PRESIDENT
Phone: (678) 786-8778
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
GA 002605

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.