THE LOTUS HAVEN PC
NPI 1164035564
Nurse Practitioner - Psychiatric/Mental Health in Atlanta, GA
About The Lotus Haven Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE LOTUS HAVEN PC (NPI 1164035564) is a healthcare organization registered as a psychiatric/mental health in Atlanta, Georgia and active in the NPI registry since August 2020. The organization lists Tyronjala Gainey- Grant, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
The Lotus Haven Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to The Lotus Haven PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 The Lotus Haven PC's NPI number?
The NPI number for The Lotus Haven PC is 1164035564. It was assigned to this organization in the NPPES registry on August 25, 2020.
Where is The Lotus Haven PC located?
The Lotus Haven PC is located at 950 Dannon Vw SW Ste 4101, Atlanta, GA 30331. The listed phone number is (404) 944-1174.
What is The Lotus Haven PC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is The Lotus Haven PC enrolled in Medicare?
Yes. The Lotus Haven PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Lotus Haven PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to The Lotus Haven PC, in Clinical Social Worker, Mental Health Counselor 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for The Lotus Haven PC was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# The Lotus Haven Pc · NPI 1164035564
Psychiatric/Mental Health organization in Atlanta, Georgia. Organization record, active in the CMS NPPES registry since August 25, 2020.
## Identity
- **NPI:** 1164035564 (Entity type: Organization)
- **Enumerated:** August 25, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Tyronjala Gainey- Grant, CEO
## Practice location
- **Address:** 950 DANNON VW SW STE 4101, Atlanta, GA 30331-2159
- **Phone:** (404) 944-1174
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Clinical Social Worker (1), Mental Health Counselor (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1164035564) · Data from the CMS NPPES public registry.