NPI Code Detail JSON Logo

1679464275 NPI number — VERVE HEALTH LLC DBA LYVA PRIMARY CARE AND WELLNESS CENTER

NPI Number: 1679464275
Health Care Provider/Practitioner: VERVE HEALTH LLC DBA LYVA PRIMARY CARE AND WELLNESS CENTER

Information about “1679464275” NPI (VERVE HEALTH LLC DBA LYVA PRIMARY CARE AND WELLNESS CENTER) exists in 1679464275 in HTML format HTML  |  1679464275 in plain Text format TXT  |  1679464275 in PDF (Portable Document Format) PDF  |  1679464275 in an XML format XML  formats.

NPI Number : 1679464275 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679464275",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "VERVE HEALTH LLC DBA LYVA PRIMARY CARE AND WELLNESS CENTER",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8 N CLARENDON AVE STE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AVONDALE ESTATES",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30002-1150",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "404-493-4941",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8 N CLARENDON AVE STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AVONDALE ESTATES",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30002-1150",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "404-493-4941",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/11/2025",
    "LastUpdateDate": "03/04/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HAMMOND",
    "AuthorizedOfficialFirstName": "ALAA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "FNP",
    "AuthorizedOfficialTelephoneNumber": "404-493-4941",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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