THE LOTUS HAVEN PC
NPI 1164035564
Nurse Practitioner - Psychiatric/Mental Health in Atlanta, GA

Active since August 25, 2020
950 DANNON VW SW STE 4101, ATLANTA, GA 30331(404) 944-1174 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2024, Oct 20, 2020, Aug 25, 2020 (3 updates tracked since 2020).

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

NPI1164035564
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameTHE LOTUS HAVEN PC
Location Address950 DANNON VW SW STE 4101Atlanta, GA 30331-2159
Mailing Address425 Dutchview DrAtlanta, GA 30349-7642
Organization SubpartNo
Authorized OfficialTyronjala Gainey- GrantCeo · (404) 944-1174
Enumeration DateAugust 25, 2020
Last NPPES UpdateDecember 9, 20243 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
NPI 1164035564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
950 DANNON VW SW STE 4101, Atlanta, GA 30331

Other Names 1

Doing Business AsThe Lotus Haven Pc

Accepted Insurance

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.

What insurance does The Lotus Haven PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list The Lotus Haven PC 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 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 19 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.