Concierge Lifestyle Medicine

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CONCIERGE LIFESTYLE MEDICINE

Practice address

4548 Salem Rd
Covington, GA 30016-4538

Phone

(470) 486-8010

NPI assigned

Sep 27, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Claudia Williams, MSN APRN FNP-CNPI 1518023886

Title

Owner/Director

Phone

(770) 866-5217

Specialties & licenses 1

Addresses

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.

• Claudia C. Williams, MSN APRN FNP-C

  • Family Nurse Practitioner
  • Covington, GA
  • NPI 1518023886
  NPD Authorized official

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1063136760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4548 SALEM RD",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300164538",
            "telephone_number": "470-486-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4548 SALEM RD",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300164538",
            "telephone_number": "470-486-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE LIFESTYLE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "770-866-5217",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN APRN FNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Brigham Cochran, DMD
• Judith C. Cohen, R.N.
• Cathy Cassandra Collins
• Michael David Collinsworth
• Sadie Comas, CAM I
• Mary Connell, PT
• Constance Jones LLC
• Jane F Conyers, RPH
• Christina Noel Cook, PTA
• Jesse Lee Cooper, LCSW

• Clinic/Center in Covington, GA
• Providers in Covington, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.