Active NPI
Summit Wellness Group With Flaire Inc
- Substance Use Disorder Rehabilitation Clinic/Center
- Atlanta, GA
National Provider Identifier
1093338816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- SUMMIT WELLNESS GROUP WITH FLAIRE INC
- Practice address
- 996 Huff Rd NW Ste C
Atlanta, GA 30318-4333 - Phone
- (770) 299-1677
- Fax
- (772) 991-1249
- NPI assigned
- May 27, 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
- Mr. Robert Schalit III
- Title
- Owner/Founder
- Phone
- (678) 859-7244
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
996 Huff Rd NW Ste C
Atlanta, GA 30318-4333
Mailing address
745 Hembree PL
Roswell, GA 30076-4035
Phone (561) 317-4563
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20076174 | Other | GA | PRIVATE FOR PROFIT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | gmail.com | Direct |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2185302 | Summit Wellness Group, Inc, the | Certificate of waiver | Jun 1, 2028 |
National Provider Directory
National Provider DirectoryLocations
996 Huff Rd NW
Ste C
Atlanta, GA 30318
Phone (770) 299-1677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611532800000",
"number": "1093338816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 HEMBREE PL",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300764035",
"telephone_number": "561-317-4563",
"fax_number": "770-299-1249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "996 HUFF RD NW STE C",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303184333",
"telephone_number": "770-299-1677",
"fax_number": "772-991-1249"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT WELLNESS GROUP WITH FLAIRE INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-27",
"last_updated": "2021-01-25",
"certification_date": "2021-01-25",
"status": "A",
"authorized_official_last_name": "SCHALIT",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OWNER/FOUNDER",
"authorized_official_telephone_number": "678-859-7244",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE FOR PROFIT",
"identifier": "20076174",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "gmail.com",
"affiliation": "N",
"endpointDescription": "Secure Database",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "996 Huff Rd NW Ste C",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303184333",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.