Healthcare Provider Details

I. General information

NPI: 1306786041
Provider Name (Legal Business Name): BORN EDUCATORS ACADEMY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1486 GA-74 UNIT 6A
TYRONE GA
30290
US

IV. Provider business mailing address

309 LAUREN DR
FAIRBURN GA
30213-7007
US

V. Phone/Fax

Practice location:
  • Phone: 404-704-4992
  • Fax:
Mailing address:
  • Phone: 404-704-4992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: KARLA MICHELLE SCIPIO
Title or Position: EXECUTIVE DIRECTOR
Credential: RN
Phone: 404-704-4992