Organization Active NPI

Healwise LLC

  • Clinical Medical Laboratory
  • Johns Creek, GA
National Provider Identifier
1184530768
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Aug 21, 2026

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.