MEDICARE: GEORGIA HEALTHIER SOLUTIONS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	039644	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	11BDLTM	OTHER	GA	MEDICARE PROVIDER #
4	202G709719	OTHER	GA	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11D0260723	OTHER	GA	CLIA ID
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386874576
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEORGIA HEALTHIER SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 229
Second Line	:
City	:	GRIFFIN
State	:	GA
Zip	:	30224-0006
Country	:	US
Telephone Number	:	404-766-4633
Fax Number	:	404-766-1108

Provider Business Practice Location Address
First Line	:	1029 CLEVELAND AVE
Second Line	:
City	:	EAST POINT
State	:	GA
Zip	:	30344-6719
Country	:	US
Telephone Number	:	404-766-4633
Fax Number	:	404-766-1108

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CECILE Q. NGUYEN
Credential	:	M.D.
Telephone Number	:	404-766-4633

Provider Enumeration Date	:	07/22/2009
Last Update Date	:	10/07/2010

Similar Medicare Providers

1972555282 — SAMUEL C ERINNE MD
Practice Location Address:

1029 CLEVELAND AVE
EAST POINT, GA
30344-6719

Practice Phone: 404-768-4626
Practice Fax: 404-768-4631

1336242890 — GEORGIA CVS PHARMACY LLC
Practice Location Address:

1043 CLEVELAND AVE
EAST POINT, GA
30344-6719

Practice Phone: 404-767-2034
Practice Fax:

1780736819 — DR. GABRIELLE D. NGUYEN DDS
Practice Location Address:

1029 CLEVELAND AVE
EAST POINT, GA
30344-6719

Practice Phone: 404-761-1542
Practice Fax: 404-761-1778

1184803157 — MRS. IVA JOYCE KATON-BENITEZ PA
Practice Location Address:

SOUTH ATLANTA MEDICAL ASSOCIATES, PC , 1029 CLEVELAND AVENUE
EAST POINT, GA
30344-6719

Practice Phone: 404-768-4626
Practice Fax: 404-768-4631

1366624520 — SOUTH ATLANTA MEDICAL ASSOCIATES, PC
Practice Location Address:

1029 CLEVELAND AVE
EAST POINT, GA
30344-6719

Practice Phone: 404-768-4626
Practice Fax: 404-768-4631

1073782058 — SOUTH ATLANTA MEDICAL ASSOCIATES PC
Practice Location Address:

1029 CLEVELAND AVE
EAST POINT, GA
30344-6719

Practice Phone: 404-768-4626
Practice Fax: 404-768-4631

Directions to “GEORGIA HEALTHIER SOLUTIONS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.