NPI age
14 years
Enumerated 2012-01-19
● Active Type 2 · Organization
Subpart
Live Healthy MD Llc
Live Healthy MD Llc is 1 of 80 preventive medicine organizations in Georgia.
Primary specialty
Preventive Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Boland
Physician
Last NPPES update
2012-01-30
Source: monthly bulk 2026-05
How this organization compares
Across 80 active preventive medicine providers in Georgia.
NPI age
14 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-01Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
3830 Washington Rd, Ste 17
Augusta, GA 309075064
Mailing address
2101 Central Ave
Augusta, GA 309046706
Authorized official
Edward H Boland, MD
Physician
📞 7069220440
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Tasheena Boyd Behavior Analyst NPI 1780149005
- Amber Flicek Occupational Therapist NPI 1396209524
- Angelique Pedraza Behavior Technician NPI 1477017473
- Kayla Smith Behavior Technician NPI 1336603893
- Ravin Taylor Behavior Technician NPI 1033673694
- Karen Trotter Behavior Technician NPI 1508321738
Specialties
-
Preventive Medicine PrimaryA preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
Subpart of Live Healthy MD Llc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.