Pure Health Medicine Llc - Medicare Primary Care in Marietta, GA

Pure Health Medicine Llc is a medicare enrolled primary clinic (Nurse Practitioner - Family) in Marietta, Georgia. The current practice location for Pure Health Medicine Llc is 905 Saddle Hl, Marietta, Georgia. For appointments, you can reach them via phone at (678) 842-8835. The mailing address for Pure Health Medicine Llc is 3966 Jefferson Township Pkwy, Marietta, Georgia and phone number is (678) 523-3663.

Pure Health Medicine Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1548833452. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (678) 842-8835.

Contact Information

Pure Health Medicine Llc
905 Saddle Hl
Marietta
GA 30068-4915
(678) 842-8835
Not Available

Map and Direction


Primary Care Clinic Profile

Full NamePure Health Medicine Llc
SpecialityNurse Practitioner
Location905 Saddle Hl, Marietta, Georgia
Authorized Official Name and PositionPaulette Decontee Kpannah (OWNER)
Authorized Official Contact6785233663
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pure Health Medicine Llc
3966 Jefferson Township Pkwy
Marietta
GA 30066-1704

Ph: (678) 523-3663
Pure Health Medicine Llc
905 Saddle Hl
Marietta
GA 30068-4915

Ph: (678) 842-8835

NPI Details:

NPI Number1548833452
Provider Enumeration Date07/19/2021
Last Update Date09/24/2021

Medicare PECOS Information:

Medicare PECOS PAC ID7517365562
Medicare Enrollment IDO20211006001231

Medical Identifiers

Medical identifiers for Pure Health Medicine Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548833452NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Pure Health Medicine Llc acts as a billing entity for following providers:
Provider NamePaulette Decontee Kpannah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740882877
PECOS PAC ID: 0941619050
Enrollment ID: I20210430001948

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.