Sculptures Wellness Center

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SCULPTURES WELLNESS CENTER

Practice address

885 Highway 138 W
Stockbridge, GA 30281-4261

Phone

(470) 377-2552

NPI assigned

Jul 15, 2020

Organization subpart

No

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

Authorized official

Name

Latasha Jefferson, DNP

Title

Nurse Practitioner

Phone

(470) 377-2552

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1023626181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 HIGHWAY 138 W",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814261",
            "telephone_number": "470-377-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 HIGHWAY 138 W",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814261",
            "telephone_number": "470-377-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCULPTURES WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "470-377-2552",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Augustin Scofield, MD
• Alicia Nicole Scott, PMHNP
• Felicia Scott, NP
• Jewell Scott, FNP-BC
• Sculptures Body Spa
• Tamika Louise Sea, M.D.
• James N Sechrist, PT
• Nathan Segall, M.D.
• Bockarie Sesay, PA
• Denisecia Sessions

• Family Nurse Practitioner in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.