MEDICAL WELLNESS GROUP (NPI# 1598000234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598000234 |
| Entity Type | Organization |
| Organization Name | MEDICAL WELLNESS GROUP |
| Practice Address |
2015 Mlk Jr Drive Atlanta GA 30310 |
| Mailing Address |
1276 Cedar Keys Ct Stone Mountain GA 30083-1811 |
| Practice Telephone | 7702567033 |
| Practice Fax Number | 6787053717 |
| Mailing Telephone | 7702567033 |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |
| Authorized Official Name | BEVERLY IDRIS (OWNER/CEO) |
| Authorized Official Telephone | 7702567033 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
39485 | GA | Ambulatory Health Care Facilities |
| Street Address |
2015 MLK JR DRIVE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134775208 | Naesm Mens Health and Wellness Center | Clinic/Center | 2140 Martin Luther King Jr Dr Sw Ste 201, Atlanta, GA 30310 | 2019-08-14 |
| 1588219810 | Dayana Regis | Pediatrics | 808 York Ave Sw, Atlanta, GA 30310 | 2019-08-04 |
| 1629636683 | Manan Shah | Student in an Organized Health Care Education/Training Program | 720 Westview Dr, Sw Morehouse School of Medicine/gme, Atlanta, GA 30310 | 2019-06-04 |
| 1780242420 | Fortunate Amarachukwu Ejimone | Student in an Organized Health Care Education/Training Program | 720 Westview Dr. Sw Morehouse School of Medicine/gme, Atlanta, GA 30310 | 2019-05-29 |
| 1922589589 | Bria Campbell | Counselor | 1009 Windsor St Sw, Atlanta, GA 30310 | 2018-08-22 |
| 1821583584 | Onyedikachi Kenneth Michaels | Student in an Organized Health Care Education/Training Program | Morehouse School of Medicine / Gme, 720 Westview Dr, Sw, Atlanta, GA 30310 | 2018-06-26 |
| 1881185387 | Precious Oghenefejiro Odunvbun | Student in an Organized Health Care Education/Training Program | 720 West View Dr Sw Morehouse School of Medicine/gme, Department of Medicine, Atlanta, GA 30310 | 2018-05-21 |
| 1598253908 | Chinonyelum Doris Nwagbara | Student in an Organized Health Care Education/Training Program | Morehouse School of Medicine, Gme 720 Westview Drive Sw, Atlanta, GA 30310 | 2018-05-01 |
| 1679060552 | Danielle Nicole Oliver | Student in an Organized Health Care Education/Training Program | Morehouse School of Medicine/gme 720 Westview Dr Sw, Atlanta, GA 30310 | 2018-04-17 |
| 1376049072 | Ngozi Egondu Okanu | Student in an Organized Health Care Education/Training Program | Gme 720 Westview Dr, Sw, Atlanta, GA 30310 | 2018-04-02 |
| Find all providers in zip 30310 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373755 | Pediatric Developmental Services | Clinic/Center | 2250 N Druid Hills Rd Ne Ste 265, Atlanta, GA 30329-3141 | 2020-07-14 |
| 1790307924 | Cryogen Plus LLC | Clinic/Center | 1039 Grant St Se Bldg A, Atlanta, GA 30315-2014 | 2020-05-11 |
| 1265082028 | Kmb Billing and Consulting | Clinic/Center | 2295 Parklake Dr Ne Ste 425, Atlanta, GA 30345-2812 | 2019-09-13 |
| 1194378745 | Georgia Therapy Clinic, LLC | Clinic/Center | 1800 Peachtree St Nw Ste 730, Atlanta, GA 30309-2511 | 2019-07-23 |
| 1588015648 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 1000 Techwood Dr Nw, Atlanta, GA 30318 | 2016-06-29 |
| 1861788986 | Dynamic 1 Medical and Rehab Clinic | Clinic/Center | 2015 Martin Luther King Jr Drive Suite B, Atlanta, GA 30310 | 2011-06-27 |
| 1124333547 | Benchmark Healthcare Services LLC | Clinic/Center | 550 Peachtree St Ne Ste 1775, Atlanta, GA 30308-2264 | 2010-08-10 |
| 1851604375 | Independent Physical Therapy of Ga, LLC | Clinic/Center | 3200 Downwood Cir Nw Ste 380, Atlanta, GA 30327-1610 | 2010-07-26 |
| 1366595118 | Thacker & Thompson | Clinic/Center | 619 Rankin St Ne, Atlanta, GA 30308-2920 | 2007-01-18 |
| 1639289515 | Center for Medicine Endocrinology & Diabetes LLC | Clinic/Center | 5667 Peachtree Dunwoody Rd., Ste. 150, Atlanta, GA 30342 | 2006-08-30 |
| Find all providers in ATLANTA | ||||
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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.