Organization Active NPI

Nouveaux U Wellness Professional Corporation

  • Nurse Practitioner
  • Buford, GA
National Provider Identifier
1205459161
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
NOUVEAUX U WELLNESS PROFESSIONAL CORPORATION
Practice address
2675 Mall of Georgia Blvd Ste 103
Buford, GA 30519-8783
Phone
(678) 979-3905
NPI assigned
May 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Mrs. Melissa Romulus Pauline, NPNPI 1770959660
Title
Founder
Phone
(678) 979-3905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

2675 Mall of Georgia Blvd Ste 103
Buford, GA 30519-8783

Mailing address

2675 Mall of Georgia Blvd Ste 103
Buford, GA 30519-8783
Phone (678) 979-3905

Other names 1

  • Rejuvenate U Wellness Clinic Professional Corporation Former legal business name

National Provider Directory

National Provider Directory

Locations

2675 Mall of Georgia Blvd
Ste 103
Buford, GA 30519
Phone (678) 979-3905

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": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1205459161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 MALL OF GEORGIA BLVD STE 103",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305198783",
            "telephone_number": "678-979-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 MALL OF GEORGIA BLVD STE 103",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305198783",
            "telephone_number": "678-979-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOUVEAUX U WELLNESS PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "PAULINE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ROMULUS",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "678-979-3905",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rejuvenate U Wellness Clinic Professional Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.