=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598565632
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PURSUANT HEALTH, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/17/2025
-----------------------------------------------------
Last Update Date | 03/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 817 W PEACHTREE ST NE STE M105
-----------------------------------------------------
City | ATLANTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30308-1164
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 770-622-4158
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 817 W PEACHTREE ST NE STE M105
-----------------------------------------------------
City | ATLANTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30308-1164
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 770-622-4158
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | LESLIE SOMMERS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 770-220-7161
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QH0100X
-----------------------------------------------------
Taxonomy Name | Health Service Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------