Mind and Body Wellness Center Inc.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MIND AND BODY WELLNESS CENTER INC.

Practice address

10475 Medlock Bridge Rd Ste 820
Johns Creek, GA 30097-4437

Phone

(404) 800-5181

Fax

(404) 800-5797

NPI assigned

Oct 11, 2020

Organization subpart

No

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

Authorized official

Name

Moshe Bachar, MD

Title

Physician

Phone

(404) 800-5181

Specialties & licenses 3

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 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anbar Ahmad, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Johns Creek, GA
  • NPI 1861703159

  Internal Medicine

  NPD
• Alexandra Marie Dudley, FNP

  • Primary Care Nurse Practitioner
  • Norcross, GA
  • NPI 1417769837
  NPD
• Jasmine Deidre Henry, NP

  • Family Nurse Practitioner
  • Norcross, GA
  • NPI 1639850977
  NPD
• Laurie Marchele Jean-Baptiste, FNP-C

  • Family Nurse Practitioner
  • Tucker, GA
  • NPI 1659185502
  NPD
• Juhi Patel

  • Family Nurse Practitioner
  • Sandy Springs, GA
  • NPI 1366302077
  NPD
• Brittany Nicole Fleming

  • Family Nurse Practitioner
  • Gastonia, NC
  • NPI 1780302075
  NPD
• Tiarra Monte Hardin, APRN

  • Nurse Practitioner
  • Columbia, SC
  • NPI 1790418168
  NPD
• Gary Paul Mikhjian, DO

  • Emergency Medicine Physician
  • Concord, NC
  • NPI 1407351851
  NPD

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

{
    "created_epoch": "1602374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1053919225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 PEACHTREE ST NE STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091859",
            "telephone_number": "404-800-5181",
            "fax_number": "404-800-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 MEDLOCK BRIDGE RD STE 820",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300974437",
            "telephone_number": "404-800-5181",
            "fax_number": "404-800-5797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3020 Holcomb Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Norcross",
            "state": "GA",
            "postal_code": "300711375",
            "country_code": "US",
            "telephone_number": "404-800-5181",
            "fax_number": "404-800-5797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "369 Sandy Springs Circle",
            "address_purpose": "LOCATION",
            "city": "Sandy Springs",
            "state": "GA",
            "postal_code": "30328",
            "country_code": "US",
            "telephone_number": "404-800-5181",
            "fax_number": "404-800-5797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND AND BODY WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-11",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "BACHAR",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "404-800-5181",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ben Mibab, DDS MS
• Milestones ABA LLC
• Jessica Beth Miller, DPT
• Kadijatu Sowe Milord
• Ji Hea Min, PHARM.D.
• Mindful Pediatrics LLC
• Mindpath Wellness
• Minimed Distribution Corp.
• Michelza Mitchell
• Wesley Gregory Mitchell Jr., MSA,CSA

• Urgent Care Clinic/Center in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Urgent Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.