FAMILY HEALTH & WELLNESS CENTERS OF GEORGIA, LLC


Address: 3371 N Berkeley Lake Rd Nw, Suite 101, Berkeley Lake, GA 30096-4367
Phone: 4046250531

FAMILY HEALTH & WELLNESS CENTERS OF GEORGIA, LLC (NPI# 1386022184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386022184
Entity Type Organization
Organization Name FAMILY HEALTH & WELLNESS CENTERS OF GEORGIA, LLC
Other Organization Name FAMILYWELLNESSMD
Practice Address 3371 N Berkeley Lake Rd Nw
Suite 101
Berkeley Lake
GA 30096-4367
Practice Telephone 4046250531
Mailing Telephone 4046250531
Enumeration Date 2015-05-12
Last Update Date 2015-06-22
Authorized Official Name DR. NADIA DEBORAH TAYLOR (OWNER)
Authorized Official Telephone 4046250531
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261Q00000X Clinic/Center 056229 GA Ambulatory Health Care Facilities
Y 261QP2300X Clinic/Center
Specialization: Primary Care
056229 GA Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
FamilyWellnessMD Doing Business As Name - Organization

Office Location

Street Address 3371 N BERKELEY LAKE RD NW
SUITE 101
City BERKELEY LAKE
State GA
Zip Code 30096-4367

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689774382 Nadia Deborah Taylor Pediatrics 3371 N Berkeley Lake Rd Nw, Suite 101, Berkeley Lake, GA 30096-4367 2006-09-22

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NPI Name Taxonomy Address Enumeration
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1235611724 Katherine Winstead Knott Counselor 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 2018-08-31
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1053839456 Rogers Bridge Pediatric Therapy, LLC Clinic/Center 2845 Summercrest Ln, Duluth, GA 30096 2017-09-06
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1639788136 Walker Health and Wellness LLC Clinic/Center 111 Bradford Dr, Bloomingdale, GA 31302-4926 2020-07-30
1942827332 Primary Care of Coastal Georgia Clinic/Center 214a Professional Cir, St Marys, GA 31558 2020-07-01
1598389637 Mercie Health Clinic/Center 3721 New Macland Rd Ste 246, Powder Springs, GA 30127-2000 2020-06-04
1366061699 Beyondmed LLC Clinic/Center 1820 Willow Branch Ln Nw, Kennesaw, GA 30152-4558 2020-04-16
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1477192219 Meridian Corporate Healthcare of Georgia P C Clinic/Center 5163 Thompson Bridge Rd, Murrayville, GA 30564-1930 2019-12-26
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Competitor

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City BERKELEY LAKE
Zip Code 30096

Improve Information

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Dataset Information

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.

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