NPIMap

Organization Active NPI

Highland Wellness, LLC

  • Non-Pharmacy Dispensing Site
  • Atlanta, GA
National Provider Identifier
1073920476
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
39433 Issued in GA
Legal business name
HIGHLAND WELLNESS, LLC
Practice address
240 N Highland Ave NE
Suite F
Atlanta, GA 30307-5609
Phone
(770) 552-3232
Fax
(888) 557-6891
NPI assigned
Jul 17, 2014
Last updated
Jul 17, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
HIGHLAND WELLNESS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Authorized official

Name
Ateeqahmed S. Patel, M.D.
Title
Medical Director
Phone
(770) 552-3232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 39433 GA Primary

Addresses

Primary practice location

240 N Highland Ave NE
Suite F
Atlanta, GA 30307-5609

Mailing address

2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 943-4180

National Provider Directory

National Provider Directory
Tax ID family
Highland Wellness LLC3 organizations share this tax ID, including this one
Part of
Highland Wellness LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

240 N Highland Ave NE
Ste F
Atlanta, GA 30307
Phone (404) 588-0804

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1073920476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-943-4180",
            "fax_number": "888-431-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N HIGHLAND AVE NE",
            "address_2": "SUITE F",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303075609",
            "telephone_number": "770-552-3232",
            "fax_number": "888-557-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND WELLNESS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HIGHLAND WELLNESS, LLC",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ATEEQAHMED",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "770-552-3232",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "GA",
            "license": "39433",
            "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 Jul 17, 2014; 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.