GOODLIFE CARDIAC CARE, LLC
NPI 1104536853
Nurse Practitioner in Smyrna, GA

Active since December 02, 2022
2400 HERODIAN WAY SE STE 220, SMYRNA, GA 30080(770) 383-1415 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Goodlife Cardiac Care, Llc NPPES

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

GOODLIFE CARDIAC CARE, LLC (NPI 1104536853) is a healthcare organization registered as a nurse practitioner in Smyrna, Georgia and active in the NPI registry since December 2022. The organization lists Laqueta Nelson, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1104536853
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameGOODLIFE CARDIAC CARE, LLC
Location Address2400 HERODIAN WAY SE STE 220Smyrna, GA 30080-8500
Mailing Address2400 Herodian Way Se Ste 220Smyrna, GA 30080-8500 · (770) 383-1415
Organization SubpartNo
Authorized OfficialLaqueta NelsonOwner/provider · (770) 383-1415
Enumeration DateDecember 2, 2022
NPPES CertifiedDecember 2, 2022
NPI 1104536853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2400 HERODIAN WAY SE STE 220, Smyrna, GA 30080

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Doula
2400 HERODIAN WAY SE STE 220
SMYRNA, GA 30080
Non-emergency Medical Transport (VAN)
2400 HERODIAN WAY SE STE 220
SMYRNA, GA 30080
Non-emergency Medical Transport (VAN)
2400 HERODIAN WAY SE STE 220
SMYRNA, GA 30080
Nursing Care
2400 HERODIAN WAY SE STE 220
SMYRNA, GA 30080
Case Management
2400 HERODIAN WAY SE STE 220
SMYRNA, GA 30080
Secured Medical Transport (VAN)
2400 HERODIAN WAY SE STE 220
SMYRNA, GA 30080
Counselor (Professional)
2400 HERODIAN WAY SE STE 220
SMYRNA, GA 30080
Counselor (Professional)
2400 HERODIAN WAY SE STE 220
SMYRNA, GA 30080

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 Goodlife Cardiac Care, LLC's NPI number?

The NPI number for Goodlife Cardiac Care, LLC is 1104536853. It was assigned to this organization in the NPPES registry on December 2, 2022.

Where is Goodlife Cardiac Care, LLC located?

Goodlife Cardiac Care, LLC is located at 2400 Herodian Way SE Ste 220, Smyrna, GA 30080. The listed phone number is (770) 383-1415.

What is Goodlife Cardiac Care, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Goodlife Cardiac Care, LLC was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.