Organization Active NPI

Advantage Bodycare Solutions, LLC

  • Clinic/Center
  • Roswell, GA
National Provider Identifier
1124467063
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ADVANTAGE BODYCARE SOLUTIONS, LLC
Practice address
500 Sun Valley Dr
Suite a-3
Roswell, GA 30076-1482
Phone
(770) 355-8352
Fax
(770) 977-8081
NPI assigned
Jun 24, 2013
Last updated
Jun 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Authorized official

Name
Dr. Rosalind Gamba, NMDNPI 1154521847
Title
Owner
Phone
(770) 355-8352

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)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

500 Sun Valley Dr
Suite a-3
Roswell, GA 30076-1482

Mailing address

500 Sun Valley Dr
Suite a-3
Roswell, GA 30076-1482
Phone (770) 355-8352

National Provider Directory

National Provider Directory

Locations

500 Sun Valley Dr
Ste A3
Roswell, GA 30076
Phone (678) 613-4748

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1124467063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SUN VALLEY DR",
            "address_2": "SUITE A-3",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761482",
            "telephone_number": "770-355-8352",
            "fax_number": "770-977-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUN VALLEY DR",
            "address_2": "SUITE A-3",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761482",
            "telephone_number": "770-355-8352",
            "fax_number": "770-977-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE BODYCARE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "GAMBA",
        "authorized_official_first_name": "ROSALIND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-355-8352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.