NPIMap

Organization Active NPI

Thrive Wellness Clinic, LLC

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1033413018
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
014050 Issued in GA
Legal business name
THRIVE WELLNESS CLINIC, LLC
Practice address
1961 North Druid Hills Rd. NE
Atlanta, GA 30329
Phone
(404) 315-8333
Fax
(678) 686-5902
NPI assigned
Jan 5, 2011
Last updated
Jun 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Lori Langston
Title
Payer Relations Specialist
Phone
(470) 816-9108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 014050 GA Primary

Addresses

Primary practice location

1961 North Druid Hills Rd. NE
Atlanta, GA 30329

Mailing address

1961 N Druid Hills Rd NE
Atlanta, GA 30329-1842
Phone (404) 315-8333

National Provider Directory

National Provider Directory

Locations

2830 Dresden Dr
Atlanta, GA 30341
Phone (404) 315-8333

1903 N Druid Hills Rd NE
Brookhaven, GA 30319
Phone (404) 315-8333

1961 N Druid Hills Rd NE
Brookhaven, GA 30329
Phone (404) 315-8333

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1033413018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 N DRUID HILLS RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303291842",
            "telephone_number": "404-315-8333",
            "fax_number": "404-315-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 NORTH DRUID HILLS RD. NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30329",
            "telephone_number": "404-315-8333",
            "fax_number": "678-686-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE WELLNESS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "LANGSTON",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "PAYER RELATIONS SPECIALIST",
        "authorized_official_telephone_number": "470-816-9108"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "014050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.