Organization Active NPI

Staywellatl,LLC

  • Clinic/Center
  • Atlanta, GA
National Provider Identifier
1154937050
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
STAYWELLATL,LLC
Practice address
2550 Heritage CT SE Ste 135
Atlanta, GA 30339-3528
Phone
(770) 644-0093
NPI assigned
Sep 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Authorized official

Name
Jeffrey H Collier
Title
Owner
Phone
(770) 644-0093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2550 Heritage CT SE Ste 135
Atlanta, GA 30339-3528

Mailing address

2550 Heritage CT SE Ste 135
Atlanta, GA 30339-3528
Phone (770) 644-0093

National Provider Directory

National Provider Directory

Locations

2550 Heritage Ct SE
Ste 135
Atlanta, GA 30339
Phone (770) 644-0093

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1154937050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 HERITAGE CT SE STE 135",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393528",
            "telephone_number": "770-644-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 HERITAGE CT SE STE 135",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393528",
            "telephone_number": "770-644-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAYWELLATL,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-644-0093"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.