Organization Active NPI

Wellife Center LTD

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1073127122
Registry record updated Sep 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2020

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.