1. Home
  2. Directory
  3. Georgia
  4. Villa Rica
  5. Clinic Center
  6. NPI Profile

PRISTINE HEALTHCARE
NPI 1225477102
Clinic/Center - Health Service in Villa Rica, GA

Active since June 24, 2013
5000 SERENITY POINT LN, VILLA RICA, GA 30180(404) 580-7642 Get Directions Write a Review

NPPES record last updated: June 24, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pristine Healthcare NPPES

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

PRISTINE HEALTHCARE (NPI 1225477102) is a healthcare organization registered as a health service in Villa Rica, Georgia and active in the NPI registry since June 2013. The organization lists Michael Anthony Gibson, Owner, as its authorized official.

NPPES Registry Identity

NPI1225477102
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NamePRISTINE HEALTHCARE
Location Address5000 SERENITY POINT LNVilla Rica, GA 30180-6963
Mailing Address5000 Serenity Point LnVilla Rica, GA 30180-6963 · (404) 580-7642
Phone(404) 580-7642
Organization SubpartNo
Authorized OfficialMichael Anthony GibsonOwner · (404) 580-7642
Enumeration DateJune 24, 2013
✔ NPI 1225477102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in GA · 057975
5000 SERENITY POINT LN, Villa Rica, GA 30180
Open in Google Maps ↗

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 Pristine Healthcare's NPI number?

The NPI number for Pristine Healthcare is 1225477102. It was assigned to this organization in the NPPES registry on June 24, 2013.

Where is Pristine Healthcare located?

Pristine Healthcare is located at 5000 Serenity Point Ln, Villa Rica, GA 30180. The listed phone number is (404) 580-7642.

What is Pristine Healthcare's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Pristine Healthcare was last updated on June 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.