Zashcare Functional Medicine LLC
Nurse Practitioner, Family in Tucker, GA. Organization (NPI-2).
NPI number1245178201
StatusActive
Last updated in NPPESMar 23, 2026
Details
- NPI
- 1245178201
- Entity type
- Organization (NPI-2)
- Legal business name
- Zashcare Functional Medicine LLC
- Organization subpart
- No
- Enumeration date
- Mar 23, 2026
- Certification date
- Mar 23, 2026
- Last updated
- Mar 23, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
3469 Lawrenceville Hwy Ste 303Tucker, GA 30084-5866
Phone 404-597-2527
Mailing address
3469 Lawrenceville Hwy Ste 303Tucker, GA 30084-5866
Phone 404-597-2527
Authorized official
Alicia Ash
Owner
4045972527
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