The Fraternity Men's Health and Wellness

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

THE FRATERNITY MEN'S HEALTH AND WELLNESS

Practice address

540 Powder Springs St Ste B8
Marietta, GA 30064-3560

Phone

(404) 749-0571

Fax

(949) 864-3686

NPI assigned

Jul 18, 2025

Last updated

Aug 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Simuel Beasley III, NPNPI 1184195653

Title

Owner/Nurse Practitioner

Phone

(404) 749-0571

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Simuel Beasley III, NP

  • Nurse Practitioner
  • Marietta, GA
  • NPI 1184195653
  NPD Authorized official

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1013809482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 POWDER SPRINGS ST STE B8",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 POWDER SPRINGS ST STE B8",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643560",
            "telephone_number": "404-749-0571",
            "fax_number": "949-864-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FRATERNITY MEN'S HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SIMUEL",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "404-749-0571",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Marietta, GA
• Providers in Marietta, GA by specialty
• Health Service Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.