REINVENT YOUR IDENTITY,LLC
NPI 1235871013
Clinic/Center in Mcdonough, GA

Active since April 11, 2022
4403 KADY CT, MCDONOUGH, GA 30252(404) 644-4198 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Reinvent Your Identity,llc NPPES

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

REINVENT YOUR IDENTITY,LLC (NPI 1235871013) is a healthcare organization registered as a clinic/center in Mcdonough, Georgia and active in the NPI registry since April 2022. The organization lists Abidemi Marsh, Owner, as its authorized official.

NPPES Registry Identity

NPI1235871013
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameREINVENT YOUR IDENTITY,LLC
Location Address4403 KADY CTMcdonough, GA 30252-3700
Mailing Address4403 Kady CtMcdonough, GA 30252-3700
Organization SubpartNo
Authorized OfficialAbidemi MarshOwner · (404) 644-4198
Enumeration DateApril 11, 2022
NPPES CertifiedApril 11, 2022
NPI 1235871013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinic/Center · Corporate HealthTaxonomy 261QC1800X
Also ListedClinic/Center · Student HealthTaxonomy 261QS1000X
4403 KADY CT, Mcdonough, GA 30252

Other Providers at the Same Location NPPES

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

Health and Wellness Coach
4403 KADY CT
MCDONOUGH, GA 30252

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 Reinvent Your Identity,llc's NPI number?

The NPI number for Reinvent Your Identity,llc is 1235871013. It was assigned to this organization in the NPPES registry on April 11, 2022.

Where is Reinvent Your Identity,llc located?

Reinvent Your Identity,llc is located at 4403 Kady Ct, Mcdonough, GA 30252. The listed phone number is (404) 644-4198.

What is Reinvent Your Identity,llc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Reinvent Your Identity,llc was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.