Trevis Gullatt, RN is a
Health & Wellness Coach based in Hapeville, Georgia. Trevis Gullatt is licensed to practice in * (Not Available) (license number ) and her current practice location is
3409 Estelle St, Hapeville, Georgia. She can be reached at her office (for appointments etc.) via phone at
(404) 849-5973.
NPI number for Trevis Gullatt is 1174400816 and her current mailing address is 685 Grady Pl Sw, Atlanta, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174400816.
Provider's Profile
| Full Name | Trevis Gullatt |
|---|
| Gender | Female |
|---|
| Speciality | Health & Wellness Coach |
|---|
| Location | 3409 Estelle St, Hapeville, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174400816
- Provider Enumeration Date: 08/15/2025
- Last Update Date: 08/15/2025
Medical Identifiers
Medical identifiers for Trevis Gullatt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1174400816 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 210650 (Georgia) | Secondary |
| 171400000X | Health & Wellness Coach | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Trevis Gullatt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Trevis Gullatt, RN 685 Grady Pl Sw, Atlanta, GA 30310-2615 Ph: (404) 849-5973 | Trevis Gullatt, RN 3409 Estelle St, Hapeville, GA 30354-1402 Ph: (404) 849-5973 |
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