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PURE HEALTHCARE OF GEORGIA LLC
NPI 1063184422
Clinic/Center - Multi-Specialty in Atlanta, GA

Active since October 04, 2021
2340 PERIMETER PARK DR STE 100, ATLANTA, GA 30341(855) 550-3358(801) 327-0211 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 4, 2024, May 26, 2023, Oct 4, 2021 (3 updates tracked since 2021).

About Pure Healthcare Of Georgia Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PURE HEALTHCARE OF GEORGIA LLC (NPI 1063184422) is a healthcare organization registered as a multi-specialty in Atlanta, Georgia and active in the NPI registry since October 2021. The organization maintains a secondary practice location in Marietta and lists Joshua Tandy, Director, as its authorized official.

NPPES Registry Identity

NPI1063184422
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePURE HEALTHCARE OF GEORGIA LLC
Location Address2340 PERIMETER PARK DR STE 100Atlanta, GA 30341-1318
Mailing Address4179 S Riverboat Rd Ste 220Taylorsville, UT 84123-2986 · (855) 550-3358
Phone(855) 550-3358
Fax(801) 327-0211
Organization SubpartNo
Authorized OfficialJoshua TandyDirector · (801) 590-9267
Enumeration DateOctober 4, 2021
Last NPPES UpdateApril 28, 20253 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
✔ NPI 1063184422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X
2340 PERIMETER PARK DR STE 100, Atlanta, GA 30341
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Secondary Practice Location 1

Location 1598 Nancy St NW Ste 100Marietta, GA 30060-1375 · Phone (770) 742-6333 · Fax (801) 327-0211

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pure Healthcare Of Georgia Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Pure Healthcare Of Georgia LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Julia Daniels, APRN FNP
Nurse Practitioner
NPI 1750118337
2340 PERIMETER PARK DR STE 100
Atlanta, GA 30341
(770) 847-8900
✔ PECOS✔ Accepts MedicareSame address
Susan Johnston, NP
Nurse Practitioner
NPI 1417389669
275 COLLIER RD NW SUITE 500
Atlanta, GA 30309
(404) 605-2800
✔ PECOS✔ Accepts Medicare9.6 mi
Robert Mannel, M.D.
Neurology
NPI 1093073181
1680 THE GREENS WAY STE 200
Jacksonville Beach, FL 32250
(904) 800-7380
✔ PECOS✔ Accepts Medicare304 mi
Jonathan Baugh, D.O.
Emergency Medicine
NPI 1578882759
1380 E MEDICAL CENTER DR
St George, UT 84790
(435) 251-1000
✔ PECOS✔ Accepts Medicare1,657 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pure Healthcare Of Georgia LLC's NPI number?

The NPI number for Pure Healthcare Of Georgia LLC is 1063184422. It was assigned to this organization in the NPPES registry on October 4, 2021.

Where is Pure Healthcare Of Georgia LLC located?

Pure Healthcare Of Georgia LLC is located at 2340 Perimeter Park Dr Ste 100, Atlanta, GA 30341. The listed phone number is (855) 550-3358.

What is Pure Healthcare Of Georgia LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Pure Healthcare Of Georgia LLC enrolled in Medicare?

Yes. Pure Healthcare Of Georgia LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pure Healthcare Of Georgia LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Pure Healthcare Of Georgia LLC, in Emergency Medicine, Neurology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pure Healthcare Of Georgia LLC accept?

Health plans from Alliant Health Plans, Inc. and UnitedHealthcare list Pure Healthcare Of Georgia LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pure Healthcare Of Georgia LLC was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.