Active NPI
Healwise LLC
- Clinical Medical Laboratory
- Johns Creek, GA
National Provider Identifier
1184530768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- HEALWISE LLC
- Practice address
- 11555 Medlock Bridge Rd Ste 150
Johns Creek, GA 30097-1541 - Phone
- (404) 348-6375
- NPI assigned
- Aug 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mahboob Shaik
- Title
- Ceo/Owner
- Phone
- (404) 348-6375
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
11555 Medlock Bridge Rd Ste 150
Johns Creek, GA 30097-1541
Mailing address
11555 Medlock Bridge Rd Ste 100
Johns Creek, GA 30097-3200
Phone (404) 348-6375
National Provider Directory
National Provider DirectoryLocations
11555 Medlock Bridge Rd
Ste 150
Johns Creek, GA 30097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787270400000",
"number": "1184530768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11555 MEDLOCK BRIDGE RD STE 100",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300973200",
"telephone_number": "404-348-6375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11555 MEDLOCK BRIDGE RD STE 150",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300971541",
"telephone_number": "404-348-6375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALWISE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-21",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A",
"authorized_official_last_name": "SHAIK",
"authorized_official_first_name": "MAHBOOB",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "404-348-6375"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johns Creek, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.