MIND AND BODY WELLNESS CENTER INC. (NPI# 1053919225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053919225 |
| Entity Type | Organization |
| Organization Name | MIND AND BODY WELLNESS CENTER INC. |
| Practice Address |
3180 N Point Pkwy Ste 302 Alpharetta GA 30005-4381 |
| Mailing Address |
1801 Peachtree St Ne Ste 300 Atlanta GA 30309-1859 |
| Practice Telephone | 4048005181 |
| Practice Fax Number | 4048005797 |
| Mailing Telephone | 4048005181 |
| Mailing Fax Number | 4048005797 |
| Enumeration Date | 2020-10-11 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | MOSHE BACHAR (PHYSICIAN) |
| Authorized Official Telephone | 4048005181 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
3180 N POINT PKWY STE 302 |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30005-4381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225271018 | Mark B Vandeusen | Otolaryngology | 3180 N Point Pkwy Ste 302, Alpharetta, GA 30005-4248 | 2009-04-09 |
| 1467066241 | Southern Physician Practice Group PC | Clinic/Center | 3180 N Point Pkwy Ste 302, Alpharetta, GA 30005-4381 | 2020-08-31 |
| 1093336331 | North Georgia Endocrinology | Internal Medicine | 3180 N Point Pkwy Ste 302, Alpharetta, GA 30005-4381 | 2020-04-28 |
| 1861703159 | Anbar Ahmad | Internal Medicine | 3180 N Point Pkwy Ste 302, Alpharetta, GA 30005-4381 | 2010-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615483 | Amarrah Shatia Guyton | Behavior Technician | 6505 Shiloh Point Road, Alpharetta, GA 30005 | 2020-09-29 |
| 1396351771 | Stephanie Hightower | Behavior Technician | 6505 Shiloh Pt Rd, Alpharetta, GA 30005 | 2020-09-21 |
| 1689130874 | Optima Eye Care LLC | Optometrist | 6365 Halcyon Way, Suite 935, Alpharetta, GA 30005 | 2019-02-13 |
| 1275006652 | Ariel Kaitlyn Petrakovich | Behavioral Analyst | 6505 Shiloh Road, Suite 100, Alpharetta, GA 30005 | 2019-01-08 |
| 1003306515 | Brightview Pharmacy, LLC | Pharmacy | 3333 Old Milton Pkwy Ste 130, Alpharetta, GA 30005 | 2018-05-10 |
| 1316452600 | Kara Marie Arps | Physical Therapist | 855 Yearling Chase, Alpharetta, GA 30005 | 2017-12-08 |
| 1417468307 | Paige Biringer | Physical Therapist | 6495 Shiloh Rd Ste 100, Alpharetta, GA 30005 | 2017-10-18 |
| 1528587169 | Laura Kinney Pearce | Speech-Language Pathologist | 6505 Shiloh Rd #100, Alpharetta, GA 30005 | 2017-09-14 |
| 1629526678 | Samantha Menton | Chiropractor | 11875 Jones Bridge Road, Suite A, Alpharetta, GA 30005 | 2016-09-20 |
| 1427424183 | Trek Medical, LLC | Clinic/Center | 5895 Windward Parkway, Suite 150, Alpharetta, GA 30005 | 2015-08-18 |
| Find all providers in zip 30005 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295288124 | Peach Medical Systems Associates LLC | Internal Medicine | 4500 N Point Pkwy, Alpharetta, GA 30022-2409 | 2016-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669026837 | Barry Howard Lubin | Internal Medicine | 1150 Collier Rd Nw Apt H20, Atlanta, GA 30318-2938 | 2019-07-26 |
| 1558887018 | Miguel E. Stubbs, Md PC | Internal Medicine | 4760 Austell Rd Ste 1, Austell, GA 30106-2007 | 2017-08-16 |
| 1760401756 | Kimberlynn R Richards | Internal Medicine | 3634 Highlands Pkwy Se, Smyrna, GA 30082-5184 | 2006-07-19 |
| 1336167600 | Shawn Ray Williams | Internal Medicine | 311 Jones Mill Rd, Statesboro, GA 30458-4765 | 2006-07-17 |
| 1245748771 | Emanuel Counseling Services, Inc | Internal Medicine | 105 Warren Ave, Swainsboro, GA 30401-3645 | 2018-01-18 |
| 1437502143 | Whole and Healthy Youth, LLC | Internal Medicine | 3200 Highlands Pkwy Se, Suite 400, Smyrna, GA 30082-5166 | 2016-07-18 |
| 1356797666 | Mat Georgia, LLC | Internal Medicine | 335 Roselane St Nw, Suite 203, Marietta, GA 30060-7902 | 2016-05-05 |
| 1841650538 | Personal Recovery Network LLC | Internal Medicine | 4015 S Cobb Dr Se, Smyrna, GA 30080-6303 | 2016-02-24 |
| 1275945909 | Alisha Goodrum | Internal Medicine | 101 Quartz Dr Ste 201, Villa Rica, GA 30180-3256 | 2014-05-29 |
| 1659537165 | Emory Medical Care Foundation Inc | Internal Medicine | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2008-08-04 |
| Find all providers with the same taxonomy | ||||
| City | ALPHARETTA |
| Zip Code | 30005 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.