WELLNESS ALTERNATIVE MEDICINE,LLC (NPI# 1962957605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962957605 |
| Entity Type | Organization |
| Organization Name | WELLNESS ALTERNATIVE MEDICINE,LLC |
| Practice Address |
619 Boulevard Ne Suite A Atlanta GA 30308-2701 |
| Mailing Address |
619 Boulevard Drive Suite A Atlanta GA 30308 |
| Practice Telephone | 7702567033 |
| Practice Fax Number | 6787053717 |
| Mailing Telephone | 7702567033 |
| Mailing Fax Number | 6787053717 |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-23 |
| Authorized Official Name | DR. RASEAN HODGE (OWNER/PARTNER) |
| Authorized Official Telephone | 7702567033 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | 054221 | GA | Ambulatory Health Care Facilities |
| N | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
054221 | GA | Ambulatory Health Care Facilities |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
619 BOULEVARD NE SUITE A |
| City | ATLANTA |
| State | GA |
| Zip Code | 30308-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972543726 | Rasean T Hodge | Family Medicine | 619 Boulevard Ne, Atlanta, GA 30308-2701 | 2006-06-08 |
| 1972891448 | Premier Chronic Pain Care Inc. | Specialist | 619 Boulevard Ne, Atlanta, GA 30308-2701 | 2011-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285165 | Grace Mckinnon Cutchin | Speech-Language Pathologist | 550 Peachtree St. Ne, 9th Floor, Suite 4400, Atlanta, GA 30308 | 2020-08-10 |
| 1063033942 | Life University | Chiropractor | 1 Baltimore P1. Nw, Suite 100, Atlanta, GA 30308 | 2020-05-01 |
| 1184254591 | Jordan Cohen | Specialist | 1075 Peachtree Rd, Suite 300, Atlanta, GA 30308 | 2020-01-24 |
| 1104463819 | Gary Sydney Koech IIi | Registered Nurse | Emory Midtown- Davis Fischer Bld 3rd Floor, Rm 3245a, 550 Peachtree Street, N.e., Atlanta, GA 30308 | 2019-12-02 |
| 1639728207 | Shannon Oliver Sullivan | Counselor | 1 Baltimore Pl Nw, Suite 360, Atlanta, GA 30308 | 2019-09-06 |
| 1477110187 | Ariel Alibey | Preventive Medicine | 550 Peachtree St Ne Bldg 4th, Atlanta, GA 30308 | 2019-05-29 |
| 1972075497 | Laura Mcrae | Nurse Practitioner | Emory Center for Critical Care, 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-21 |
| 1265902134 | Kyle Brooks Kraft | Nurse Practitioner | 550 Peachtree Road, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-04 |
| 1396211025 | Vita Judkins | Pharmacist | 240 Renaissance Pkway Ne, Unit 116, Atlanta, GA 30308 | 2018-10-20 |
| 1407345911 | Caitlin Cundiff | Anesthesiology | 550 Peachtree St Ne Ste 3245b, Atlanta, GA 30308 | 2018-05-09 |
| Find all providers in zip 30308 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575834 | The Iv Spot, LLC. | Clinic/Center | 2100 Parklake Dr Ne # C-5, Atlanta, GA 30345-2824 | 2020-10-09 |
| 1780296533 | North Atlanta Mental Wellness | Clinic/Center | 1742 Mount Vernon Rd Ste 150b, Atlanta, GA 30338-4251 | 2020-08-21 |
| 1417593047 | Integrative Medical Group and Medical Spa, Inc | Clinic/Center | 805 Lambert Dr Ne Ste C, Atlanta, GA 30324-4189 | 2019-11-19 |
| 1811486905 | Atlanta Center of Women's Choice | Clinic/Center | 1874 Piedmont Ave Ne Ste 580e, Atlanta, GA 30324-4975 | 2018-05-04 |
| 1699282665 | Healthy Children Pediatrics, LLC | Clinic/Center | 1448 Lucile Ave Sw, Atlanta, GA 30310-1217 | 2017-12-29 |
| 1205347424 | Juliet Asher, Md, P.C. | Clinic/Center | 3193 Howell Mill Rd Nw Ste 104, Atlanta, GA 30327-2100 | 2017-10-15 |
| 1861870891 | Intown Medicine Inc | Clinic/Center | 3200 Downwood Cir Nw Ste 680, Atlanta, GA 30327-1624 | 2015-05-11 |
| 1780083188 | Amina Medical Consultants PC | Clinic/Center | 2840 Northeast Expy Ne, Suite#116, Atlanta, GA 30345-4214 | 2014-08-21 |
| 1902236656 | Destiny Family Medical Center, LLC | Clinic/Center | 3654 Chattahoochee Summit Dr Se, Atlanta, GA 30339-3254 | 2013-11-16 |
| 1689017170 | Clinica Medica Prenatal Inc | Clinic/Center | 4300 Buford Hwy Ne, Suite: 216, Atlanta, GA 30345-1003 | 2013-04-15 |
| 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.