Organization Active NPI

Adrienne Mitchell Wellness

Doing business as Am Wellness

  • Clinical Social Worker
  • Jonesboro, GA
National Provider Identifier
1144970617
Registry record updated Mar 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ADRIENNE MITCHELL WELLNESS
Doing business as
Am Wellness
Practice address
1161 Faulkner Way
Jonesboro, GA 30238-8075
Phone
(404) 969-2558
NPI assigned
Mar 26, 2022
Last updated
Mar 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2022

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

Authorized official

Name
Adrienne MitchellNPI 1740576743
Title
Owner/Therapist
Phone
(253) 341-3797

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
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

1161 Faulkner Way
Jonesboro, GA 30238-8075

Mailing address

1161 Faulkner Way
Jonesboro, GA 30238-8075

Other names 1

  • AM WELLNESS Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address www.wellness@adriennemitchell.com Direct

National Provider Directory

National Provider Directory

Locations

2086 Jodeco Rd
McDonough, GA 30253
Phone (800) 622-9896

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": "1648252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648252800000",
    "number": "1144970617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 FAULKNER WAY",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302388075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 FAULKNER WAY",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302388075",
            "telephone_number": "404-969-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADRIENNE MITCHELL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-26",
        "last_updated": "2022-03-26",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "253-341-3797"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "www.wellness@adriennemitchell.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1161 Faulkner Way",
            "city": "Jonesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302388075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "AM WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2022; 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.