PREMIER HEALTH AND WELLNESS MANAGEMENT, LLC (NPI# 1801126669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801126669 |
| Entity Type | Organization |
| Organization Name | PREMIER HEALTH AND WELLNESS MANAGEMENT, LLC |
| Other Organization Name | PREMIER HEALTH AND WELLNESS |
| Practice Address |
1830 Water Pl Se Suite #295 Atlanta GA 30339-7407 |
| Mailing Address |
1415 Highway 85 N Suite #295 Fayetteville GA 30214-7738 |
| Practice Telephone | 7709330213 |
| Mailing Telephone | 7709330213 |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2010-01-14 |
| Authorized Official Name | MRS. DELINIA J. WEAVER (MEMBER/MANGER) |
| Authorized Official Telephone | 7709330213 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WE0900X |
Registered Nurse Specialization: Enterostomal Therapy |
Nursing Service Providers |
| Other Name | Type Code |
|---|---|
| Premier Health and Wellness | Doing Business As Name - Organization |
| Street Address |
1830 WATER PL SE SUITE #295 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30339-7407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336116375 | Bruce E Atkinson | Counselor | 1830 Water Pl Se, Atlanta, GA 30339-7407 | 2006-03-08 |
| 1538609888 | Beproactive Foundation, Inc | Voluntary or Charitable | 1830 Water Pl Se, Ste #220, Atlanta, GA 30339-7407 | 2017-03-06 |
| 1841683737 | Tyneisha King | Counselor | 1830 Water Pl Se, Suite 200, Atlanta, GA 30339-7407 | 2015-03-17 |
| 1508262098 | Barbara Carlton | Counselor | 1830 Water Pl Se, Suite 200, Atlanta, GA 30339-7407 | 2014-11-10 |
| 1841696333 | Nichele Lemons | Counselor | 1830 Water Pl Se, Suite 200, Atlanta, GA 30339-7407 | 2014-11-10 |
| 1629489398 | Christy Wasden | Counselor | 1830 Water Pl Se, Suite 200, Atlanta, GA 30339-7407 | 2014-05-15 |
| 1841600913 | Julie Fetkenhour | Counselor | 1830 Water Pl Se, Suite 200, Atlanta, GA 30339-7407 | 2014-04-29 |
| 1942610035 | Kevin Mccamy | Counselor | 1830 Water Pl Se, Suite 200, Atlanta, GA 30339-7407 | 2014-04-29 |
| 1245640358 | Allyson Coker | Counselor | 1830 Water Pl Se, Suite 200, Atlanta, GA 30339-7407 | 2014-04-29 |
| 1558785055 | Mariann Main | Counselor | 1830 Water Pl Se, Suite 200, Atlanta, GA 30339-7407 | 2014-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303426 | Cheryl E Williams | Counselor | 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 | 2020-07-20 |
| 1245854371 | Synergia Integrated Telebehavioral Health | Clinic/Center | 3941 Old Atlanta Station Drive, Southeast, Atlanta, GA 30339 | 2020-06-04 |
| 1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
| 1881165207 | Le Reve Medical Clinic PC | Family Medicine | 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 | 2018-12-11 |
| 1013499821 | Deonna Pennamon | Specialist/Technologist | 5625 Suffex Green Lane, Atlanta, GA 30339 | 2018-08-29 |
| 1205326915 | Matthew Buyert | Counselor | 1827 Powers Ferry Rd Se Ste 22, Atlanta, GA 30339 | 2018-05-17 |
| 1760991632 | Horizons Unlimited Professional Services Inc. | Community/Behavioral Health | 1755 The Exchange Se Ste 190, Atlanta, GA 30339 | 2017-09-23 |
| 1932624418 | Kheder Basheer | Student in an Organized Health Care Education/Training Program | 3224 Post Woods Dr., Apt E, Atlanta, GA 30339 | 2017-08-07 |
| 1417486820 | Ashley Drake | Counselor | 4695 N Church Ln Se Apt 10306, Atlanta, GA 30339 | 2017-06-08 |
| 1992248298 | New Legacy Counseling and Training Center | Point of Service | 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 | 2016-11-18 |
| Find all providers in zip 30339 | ||||
| Taxonomy Code | 163WE0900X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Enterostomal Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780744177 | Nancy Earline Wade | Registered Nurse | 738 N Parkwood Rd, Decatur, GA 30030-5024 | 2006-12-08 |
| 1437314770 | Wound Care Consultants, LLC | Registered Nurse | 738 N Parkwood Rd, Decatur, GA 30030-5024 | 2008-07-25 |
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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.