Carl Bean Mens Health and Wellness Center Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CARL BEAN MENS HEALTH AND WELLNESS CENTER INC

Practice address

2140 M L King Jr Dr SW
2140 M L King Jr Dr SW-BLDG. B
Atlanta, GA 30310-1134

Phone

(404) 609-3197

Fax

(404) 691-8809

NPI assigned

Aug 14, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Rudolph H Carn

Title

President/Board Chair

Phone

(404) 660-0527

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NAESM Mens Health and Wellness Center Former legal business name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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

• Jaimee Kenyatta Colvin

  • Family Nurse Practitioner
  • Cincinnati, OH
  • NPI 1346758729

  GA

  Medicare reassignment NPD
• John O'Quinn, MSW

  • Clinical Social Worker
  • Atlanta, GA
  • NPI 1023895299
  NPD

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1134775208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 M L KING JR DR SW",
            "address_2": "BLDG. B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101134",
            "telephone_number": "404-660-0527",
            "fax_number": "404-691-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 M L KING JR DR SW",
            "address_2": "2140 M L KING JR DR SW-BLDG. B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101134",
            "telephone_number": "404-609-3197",
            "fax_number": "404-691-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL BEAN MENS HEALTH AND WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "CARN",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT/BOARD CHAIR",
        "authorized_official_telephone_number": "404-660-0527",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEE FOR SERVICES",
            "identifier": "123456",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "URL",
            "affiliation": "N",
            "endpointDescription": "Pratice Fusion",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2140 Martin Luther King Jr Dr SW Ste 201",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303101134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NAESM Mens Health and Wellness Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Caring Hearts Home Healthcare
• Caring Partners Medical Group, LLC
• Caring Senior Service of Cobb County
• Caringhome Connect LLC
• Carioca Enterprises LLC
• Curtis Alfred Carl, MD
• Carla Crawford MD PC
• Brittany Carley
• Adam James Carlisle, MD
• Jennifer Wilkinson Carlisle, M.D.

• Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.