Active NPI
Wellife Center LTD
- Internal Medicine Physician
- Atlanta, GA
National Provider Identifier
1073127122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- WELLIFE CENTER LTD
- Practice address
- 1117 Perimeter Ctr Ste N316
Atlanta, GA 30338-5443 - Phone
- (678) 404-5680
- Fax
- (833) 904-0122
- NPI assigned
- Sep 5, 2020
- Last updated
- Sep 5, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lori Danielle Lynch, MD
- Title
- Medical Director
- Phone
- (678) 404-5680
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1117 Perimeter Ctr Ste N316
Atlanta, GA 30338-5443
Mailing address
1117 Perimeter Ctr Ste N316
Atlanta, GA 30338-5443
Phone (678) 404-5680
National Provider Directory
National Provider DirectoryLocations
1117 Perimeter Ctr
Ste N316
Sandy Springs, GA 30338
Phone (678) 404-5680
Practitioners & affiliated clinicians
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.
-
- Naturopath
- Atlanta, GA
- NPI 1720549421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599264000000",
"number": "1073127122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 PERIMETER CTR STE N316",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303385443",
"telephone_number": "678-404-5680",
"fax_number": "833-904-0122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 PERIMETER CTR STE N316",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303385443",
"telephone_number": "678-404-5680",
"fax_number": "833-904-0122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLIFE CENTER LTD",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-05",
"last_updated": "2020-09-05",
"certification_date": "2020-09-05",
"status": "A",
"authorized_official_last_name": "LYNCH",
"authorized_official_first_name": "LORI",
"authorized_official_middle_name": "DANIELLE",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "678-404-5680",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"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 Sep 5, 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.