MEDPRIME, LLC (NPI# 1801175658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801175658 |
| Entity Type | Organization |
| Organization Name | MEDPRIME, LLC |
| Other Organization Name | WELLNESS PLUS CLINIC |
| Practice Address |
229 Peachtree St Suite A-01 Atlanta GA 30303-1601 |
| Mailing Address |
Po Box 501741 Atlanta GA 31150-1741 |
| Practice Telephone | 4045225552 |
| Practice Fax Number | 4045225151 |
| Mailing Telephone | 4045225552 |
| Mailing Fax Number | 4045225151 |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2011-08-10 |
| Authorized Official Name | MARK REZNIK (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 4045225552 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | CHIRO07312 | GA | Chiropractic Providers |
| Y | 208D00000X | General Practice | 044023 | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Wellness Plus Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245519636 | Medprime, LLC | Chiropractor | 1197 Peachtee Street Ne, Atlanta, GA 31150 | 2011-08-16 |
| 1578843256 | Medprime, LLC | Chiropractor | 4651 Chamblee Dunwoody Rd, Suite A, Atlanta, GA 30338-6339 | 2011-08-25 |
| 1265711634 | Medprime, LLC | Chiropractor | 3 Ravinia Dr, Suite P-160, Atlanta, GA 30346-2118 | 2011-08-16 |
| 1750670543 | Medprime, LLC | Physiological Laboratory | 12731 Marblestone Dr, Woodbridge, VA 22192-8307 | 2011-03-31 |
| Street Address |
229 PEACHTREE ST SUITE A-01 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30303-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801812250 | Phillips & Phillips Dental Associates P.C. | Dentist | 229 Peachtree St, Suite 206, Atlanta, GA 30303-1601 | 2006-07-15 |
| 1093735318 | George Phillips | Dentist | 229 Peachtree St, Suite 206, Atlanta, GA 30303-1601 | 2006-07-20 |
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|---|---|---|---|---|
| 1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
| 1952917155 | Alesha Deshay Elbert | Behavior Technician | 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 | 2020-09-22 |
| 1033759386 | Mark Bush | Case Manager/Care Coordinator | 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 | 2020-01-14 |
| 1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
| 1356826564 | United States Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 260 Peachtree Street Nw, Suite 2200, Office 2228, Atlanta, GA 30303 | 2018-10-03 |
| 1336645290 | Joseph Bahng | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Drive Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303 | 2018-03-31 |
| 1841704707 | Amber Peach LLC | Family Medicine | 260 Peachtree St Nw Suite 2200, Atlanta, GA 30303 | 2017-11-29 |
| 1447778089 | Jasmine Williams | Behavioral Analyst | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-09-05 |
| 1982138236 | Mahek Dossani | Behavior Technician | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-04-13 |
| 1255872420 | Alexis Annick Auger | Behavior Technician | 260 Peachtree St. Nw, Suite 2200, Atlanta, GA 30303 | 2017-03-20 |
| Find all providers in zip 30303 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1174917470 | Thomas Merryfield Jarrett | General Practice | 2870 Peachtree Rd Nw Ste 915-3296, Atlanta, GA 30305-2918 | 2015-03-24 |
| 1306247663 | Hbisc | General Practice | 3118 Esplanade Cir Sw, Atlanta, GA 30311-4221 | 2014-09-05 |
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| 1871928747 | Shefffrin Men's Health-midtown, P.C. | General Practice | 2025 Monroe Dr Ne, Suite A, Atlanta, GA 30324-4830 | 2013-09-10 |
| 1750721221 | International Community Medical Network, LLC | General Practice | 1900 Windsor Dr Sw, Atlanta, GA 30311-4414 | 2013-06-28 |
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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.