PURE HEALTH MEDICINE LLC
NPI 1548833452
Nurse Practitioner - Family in Marietta, GA

Active since July 19, 2021
905 SADDLE HL, MARIETTA, GA 30068(678) 842-8835 Get Directions Write a Review

NPPES record last updated: September 24, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 24, 2021, Jul 19, 2021 (2 updates tracked since 2021).

  • Organization
  • Nurse Practitioner
  • Family

About PURE HEALTH MEDICINE LLC

This page provides the complete NPI Profile along with additional information for Pure Health Medicine Llc, a provider established in Marietta, Georgia operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1548833452 assigned on July 2021. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Pure Health Medicine Llc. The authorized official of this NPI record is Mrs. Paulette Decontee Kpannah (Owner)

NPI
1548833452 Verify this NPI
Provider Legal Name
PURE HEALTH MEDICINE LLC
Other Organization Name
PURE HEALTH MEDICINE LLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
905 SADDLE HL MARIETTA, GA 30068
Location Phone
(678) 842-8835
Mailing Address
3966 JEFFERSON TOWNSHIP PKWY MARIETTA, GA 30066
Mailing Phone
(678) 523-3663
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-19-2021
Last Update Date
09-24-2021
Code Navigator

A nurse practitioner (NP) like Pure Health Medicine Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. PAULETTE DECONTEE KPANNAH

Authorized Official Title
OWNER
Authorized Official Phone
(678) 523-3663

Reviews for PURE HEALTH MEDICINE LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Family)
905 SADDLE HL
MARIETTA, GA 30068

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548833452, enumerated as an "organization" on July 19, 2021.

The provider is located at 905 SADDLE HL MARIETTA, GA 30068 and the phone number is (678) 842-8835.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.