Organization Active NPI

Summit Wellness Group With Flaire Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Atlanta, GA
National Provider Identifier
1093338816
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
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

Updated by the provider on Jan 25, 2021

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)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
20076174OtherGAPRIVATE FOR PROFIT

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL gmail.com Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2185302Summit Wellness Group, Inc, the996 Huff Road NW Suite C, Atlanta, GA 30318Certificate of waiverJun 1, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.