Sistah Space Women'S Wellness Center, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

SISTAH SPACE WOMEN'S WELLNESS CENTER, LLC

Practice address

130 Howell Rd
Tyrone, GA 30290-6800

Phone

(312) 451-7546

Fax

(470) 250-2401

NPI assigned

Jun 6, 2019

Organization subpart

No

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

Authorized official

Name

Jeneen A LomaxNPI 1912234550

Title

Owner

Phone

(312) 451-7546

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Jeneen A Lomax, CNM

  • Advanced Practice Midwife
  • Atlanta, GA
  • NPI 1912234550
  NPD (past) Authorized official

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1184283848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 LAUREN DR",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302137007",
            "telephone_number": "312-451-7546",
            "fax_number": "470-250-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HOWELL RD",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302906800",
            "telephone_number": "312-451-7546",
            "fax_number": "470-250-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISTAH SPACE WOMEN'S WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "LOMAX",
        "authorized_official_first_name": "JENEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-451-7546"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jalomax@direct.practicefushion.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "351 Lauren Dr Ste C",
            "city": "Fairburn",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302137007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lauren Schwartz, NP
• Brittany Scott, M.ED., BCBA
• Daira Selvas Franco
• Eric A Shearer, D.C.
• Lindsey Feldman Shurack
• Matthew Skoner, OD
• Johannes Daniel Smit, RPH
• Brian A Smith, DMD,P.C
• Ivy Yvonne Smith, MD
• Viva Lashawn Snowden, FNP-BC

• Health Service Clinic/Center in Tyrone, GA
• Providers in Tyrone, GA by specialty
• Health Service Clinic/Center in Georgia

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