Georgia Wellness Associates

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GEORGIA WELLNESS ASSOCIATES

Practice address

552 Ponce de Leon Ave NE
Atlanta, GA 30308-1806

Phone

(678) 235-2401

Fax

(678) 235-2403

NPI assigned

Jul 2, 2013

Organization subpart

No

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

Authorized official

Name

Cynthia M Tate

Title

Administrator

Phone

(404) 910-2922

Specialties & licenses 2

Addresses

Other names 1

• Georgia Pain and Wellness Doing business as

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1154761385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 PONCE DE LEON AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081806",
            "telephone_number": "678-235-2401",
            "fax_number": "678-235-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 PONCE DE LEON AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081806",
            "telephone_number": "678-235-2401",
            "fax_number": "678-235-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA WELLNESS ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-910-2922"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgia Pain and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Georgia Vascular Clinic at Saint Joseph'S, LLC
• Georgia Vascular Clinic PA
• Georgia Vascular Institute, LLC
• Georgia Vascular Specialists PC
• Georgia Wellness & Rehab Center
• Georgia West Imaging, PC
• Georgia Wound Care Experts Inc
• Georgia'S Best Home Care Solution, LLC
• Georgia'S Embrace Therapeutic and Spiritual Care, LLC
• Georgia'S Families in Transition LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.