Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
HYDR8ME IV LOUNGE
Active
Organization
HYDR8ME IV LOUNGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETRINO PIERCE RN (OWNER)
(678) 832-8065
Entity
Organization
Contact information
Practice address
7824 HICKORY FLAT HWY STE 130, WOODSTOCK, GA 30188-6575
(678) 832-8065
(877) 599-6195
Mailing address
211 PAYTON PL, WOODSTOCK, GA 30188-3185
(678) 832-8065
(877) 599-6195
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
163WI0500X
Infusion Therapy Registered Nurse
—
—
251F00000X
Home Infusion Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up