IMPERIAL LILLY HOLISTIC HEALTH
NPI 1114722766
Nurse Practitioner - Family in Decatur, GA

Active since February 18, 2025
2724 WESLEY CHAPEL RD UNIT 360326, DECATUR, GA 30036(678) 458-7080 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Imperial Lilly Holistic Health NPPES

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

IMPERIAL LILLY HOLISTIC HEALTH (NPI 1114722766) is a healthcare organization registered as a family in Decatur, Georgia and active in the NPI registry since February 2025. The organization lists Lillian Mugwede, Owner, as its authorized official.

NPPES Registry Identity

NPI1114722766
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameIMPERIAL LILLY HOLISTIC HEALTH
Location Address2724 WESLEY CHAPEL RD UNIT 360326Decatur, GA 30036-2396
Mailing Address2724 Wesley Chapel Rd Unit 360326Decatur, GA 30036-2396
Organization SubpartNo
Authorized OfficialLillian MugwedeOwner · (678) 458-7080
Enumeration DateFebruary 18, 2025
NPPES CertifiedFebruary 18, 2025
✔ NPI 1114722766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
2724 WESLEY CHAPEL RD UNIT 360326, Decatur, GA 30036

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Imperial Lilly Holistic Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Imperial Lilly Holistic Health, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1629580196
1023 PRIVY LN
Stone Mountain, GA 30083
(678) 458-7080
✔ PECOS✔ Accepts Medicare3.9 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 Imperial Lilly Holistic Health's NPI number?

The NPI number for Imperial Lilly Holistic Health is 1114722766. It was assigned to this organization in the NPPES registry on February 18, 2025.

Where is Imperial Lilly Holistic Health located?

Imperial Lilly Holistic Health is located at 2724 Wesley Chapel Rd Unit 360326, Decatur, GA 30036. The listed phone number is (678) 458-7080.

What is Imperial Lilly Holistic Health's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Imperial Lilly Holistic Health enrolled in Medicare?

Yes. Imperial Lilly Holistic Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Imperial Lilly Holistic Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Imperial Lilly Holistic Health. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Imperial Lilly Holistic Health was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.