Organization Active NPI

Roll for Wellness, LLC

  • Clinical Social Worker
  • Kennesaw, GA
National Provider Identifier
1073465894
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ROLL FOR WELLNESS, LLC
Practice address
1301 Shiloh Rd NW Ste 130
Kennesaw, GA 30144-7148
Phone
(470) 588-7635
NPI assigned
Feb 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Authorized official

Name
Ariyanna WhiteNPI 1235981812
Title
Clinical Director
Phone
(678) 830-7694

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1301 Shiloh Rd NW Ste 130
Kennesaw, GA 30144-7148

Mailing address

2090 Baker Rd NW Ste 304
Kennesaw, GA 30144-4617

National Provider Directory

National Provider Directory

Locations

2090 Baker Rd NW
Ste 304
Kennesaw, GA 30144

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1073465894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 BAKER RD NW STE 304",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE 130",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447148",
            "telephone_number": "470-588-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLL FOR WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ARIYANNA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "678-830-7694"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.