Active NPI
Pure Essence Wellness
- Health Service Clinic/Center
- Atlanta, GA
National Provider Identifier
1093524175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- PURE ESSENCE WELLNESS
- Practice address
- 1800 Jonesboro Rd SE
Atlanta, GA 30315-5314 - Phone
- (404) 805-2444
- NPI assigned
- Jan 3, 2025
- 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
- Surayya Abdulmateen, REGISTERED NURSE
- Title
- Owner
- Phone
- (404) 805-2444
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
1800 Jonesboro Rd SE
Atlanta, GA 30315-5314
Mailing address
5681 Winchester PL
Stonecrest, GA 30038-4084
Phone (404) 805-2444
National Provider Directory
National Provider DirectoryLocations
1800 Jonesboro Rd SE
Atlanta, GA 30315
Phone (404) 398-5318
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Health & Wellness Coach
- Atlanta, GA
- NPI 1114736287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735862400000",
"number": "1093524175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5681 WINCHESTER PL",
"city": "STONECREST",
"state": "GA",
"postal_code": "300384084",
"telephone_number": "404-805-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 JONESBORO RD SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303155314",
"telephone_number": "404-805-2444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURE ESSENCE WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-03",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A",
"authorized_official_last_name": "ABDULMATEEN",
"authorized_official_first_name": "SURAYYA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-805-2444",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"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 Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.