Opulent Wellness LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

MT004320 Issued in GA

Legal business name

OPULENT WELLNESS LLC

Practice address

2221 Peachtree Rd NE
Ste. P33
Atlanta, GA 30309-1148

Phone

(404) 955-1000

NPI assigned

Apr 5, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Keisha Monique Gwinn, MTNPI 1770808545

Title

Owner

Phone

(404) 955-1000

Specialties & licenses 1

Addresses

Other names 1

• Opulent Wellness Doing business as

Locations

Practitioners 1

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

• Keisha Monique Gwinn, MT

  • Massage Therapist
  • Atlanta, GA
  • NPI 1770808545
  NPD (past) Authorized official

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1144545922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 26TH ST NW",
            "address_2": "APT. 1117",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091914",
            "telephone_number": "404-955-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 PEACHTREE RD NE",
            "address_2": "STE. P33",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091148",
            "telephone_number": "404-955-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPULENT WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "GWINN",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-955-1000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "GA",
            "license": "MT004320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Opulent Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optique PCM
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• Optummd LLC
• Opulent Home Care LTD. Co.
• Angel Opuni
• Ngozi Orabueze, APRN-FNP
• Chika C Oraka, NP
• Chisom Oraka
• Oral Surgery Anesthesia Associates LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.