Annual Wellness Centers of America

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

ANNUAL WELLNESS CENTERS OF AMERICA

Practice address

753 Old Norcross Rd Ste B
Lawrenceville, GA 30046-4312

Phone

(770) 545-8888

NPI assigned

May 15, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tyler Penrod

Title

Biller

Phone

(832) 289-9225

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1003472036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5942 WATERSDOWN WAY",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305423221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 OLD NORCROSS RD STE B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464312",
            "telephone_number": "770-545-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNUAL WELLNESS CENTERS OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "PENROD",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "832-289-9225"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Ebere Ani
• Aniala Behavioral Health, LLC
• Anita'S Balm
• Isioma Anizor, D.D.S.
• Annual Medicare Wellness Exams
• Nusaybah Ansar, RBT
• Marie Jose Antoine, FNP-C
• Mariam Nematalla Antonios, D.O.
• Eliza Mattson Antonowich, CPNP-PC
• Mariam Anwar, MD

• Allergy & Immunology Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Allergy & Immunology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.