Serenitymed Recovery, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SERENITYMED RECOVERY, LLC

Practice address

1954 Airport Rd # 670
Atlanta, GA 30341-4956

Phone

(678) 250-4659

Fax

(404) 868-5162

NPI assigned

Jul 17, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Erica Chanise Bolar, DNP, APRN, FNPNPI 1285995845

Title

Owner

Phone

(678) 250-4659

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Erica Chanise Bolar, DNP, FNP, CARN-AP

  • Family Nurse Practitioner
  • Norcross, GA
  • NPI 1285995845

  Multi-Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1093494841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4027 CAITLYN PL",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303603225",
            "telephone_number": "404-451-7529",
            "fax_number": "404-868-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 AIRPORT RD # 670",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414956",
            "telephone_number": "678-250-4659",
            "fax_number": "404-868-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITYMED RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "BOLAR",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "CHANISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-250-4659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN, FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity Laboratories LLC
• Serenity Laboratory Inc
• Serenity Life Wellness, LLC
• Serenity Podiatric Concierge, LLC
• Serenity South Health Services
• Serenus Wellness Medical Center LLC
• Alexis Seres, RN, BSN, CRNA
• Serge Sautre, DC, PC
• Michael Serotoff, M.D.
• Roberta Ann Serra, CPNP

• Family Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.