Active NPI
Reclaiming Health and Wellness
- Nurse Practitioner
- Peachtree Corners, GA
National Provider Identifier
1013619352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- RECLAIMING HEALTH AND WELLNESS
- Practice address
- 4989 Peachtree Pkwy Ste 200
Peachtree Corners, GA 30092-2589 - Phone
- (617) 817-4933
- NPI assigned
- Mar 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jasmine Nicole Munroe, APRN
- Title
- Nurse Practitioner
- Phone
- (617) 817-4933
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
4989 Peachtree Pkwy Ste 200
Peachtree Corners, GA 30092-2589
Mailing address
249 W Peachtree St
Norcross, GA 30071-2056
Phone (617) 817-4933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230821002479 | GA | Part B Supplier - Clinic/Group Practice | 4880056985 | Practice locations: Peachtree Corners, GA |
National Provider Directory
National Provider DirectoryLocations
4989 Peachtree Pkwy
#200
Peachtree Corners, GA 30092
Phone (617) 817-4933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742428800000",
"number": "1013619352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "249 W PEACHTREE ST",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300712056",
"telephone_number": "617-817-4933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4989 PEACHTREE PKWY STE 200",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "300922589",
"telephone_number": "617-817-4933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RECLAIMING HEALTH AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-20",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A",
"authorized_official_last_name": "MUNROE",
"authorized_official_first_name": "JASMINE",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "617-817-4933",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peachtree Corners, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.