# PURE INFUSION OF GEORGIA LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982586343
- **Authorized official:** RACHEL FRAGA (DIRECTOR OF PAYER DEVELOPMENT)
- **Authorized official phone:** (801) 921-6325

## Contact information

- **Practice address:** 2340 PERIMETER PARK DR STE 100, ATLANTA, GA 30341-1318
- **Practice address phone:** (770) 847-8900
- **Mailing address:** 4179 S RIVERBOAT RD STE 220, TAYLORSVILLE, UT 84123-2986
- **Mailing address phone:** (801) 590-9267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QI0500X | Infusion Therapy Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/24/2025
- **Last updated:** 10/07/2025