Active NPI
Nouveaux U Wellness Professional Corporation
- Nurse Practitioner
- Buford, GA
National Provider Identifier
1205459161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Melissa Romulus Pauline, NP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nurse Practitioner
- Buford, GA
- NPI 1770959660
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
- North Georgia Spine Offices Inc
- Northeast Ga Counseling
- Northeast Georgia Physicians Group-Urgent Care, LLC
- Leah Nouis, RN
- Nouveaux U Behavioral Health Professional Corporation
- Isabella Kathryn Novak, MSOT, OTR/L, BCP
- John M Nunez, D.C.
- Steven K Nutty, D.C.
- Chidinma Nwadike, FNP-C
- Chinenye Nwokocha, NP-C
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.