Healthcare Provider Details

I. General information

NPI: 1841120466
Provider Name (Legal Business Name): SERENI HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3576 COVINGTON HWY STE 206E
DECATUR GA
30032-1800
US

IV. Provider business mailing address

177 RUBY LN
MCDONOUGH GA
30252-8732
US

V. Phone/Fax

Practice location:
  • Phone: 762-250-7302
  • Fax:
Mailing address:
  • Phone: 478-697-3145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ANDREA WATKINS DAVENPORT
Title or Position: OWNER
Credential: FNP-BC
Phone: 478-697-3145