Dobbs Family Health and Wellness Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DOBBS FAMILY HEALTH AND WELLNESS CENTER

Practice address

1810 Mulkey Rd Ste 200
Austell, GA 30106-1150

Phone

(678) 772-1910

NPI assigned

Oct 8, 2021

Last updated

Oct 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Reneka L Dobbs-Jackson, MDNPI 1134310147

Title

Owner

Phone

(678) 772-1910

Specialties & licenses 1

Addresses

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.

• Reneka L Dobbs-Jackson, MD

  • Family Medicine Physician
  • Rome, GA
  • NPI 1134310147
  NPD Authorized official

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1174285043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2688 MOON CABIN DR",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301273791",
            "telephone_number": "678-772-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 MULKEY RD STE 200",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061150",
            "telephone_number": "678-772-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOBBS FAMILY HEALTH AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "DOBBS-JACKSON",
        "authorized_official_first_name": "RENEKA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-772-1910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Digiacomo, NP
• Jeffrey Duane Diller, ACNP-BC
• Divine Care LLC
• Divine Healthcare Services, LLC
• Thomas R Dix, DMD
• Jabari Jela Dobson, MSN,PMHNP-BC
• Annette Donovan-Hughes, LCSW
• Kwneshia Lawane Dorsey, FNP
• Douglas County Community Services Board
• Marly N. Dows-Martinez, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.