Organization Active NPI

Howard Adult Health & Wellness

  • Family Nurse Practitioner
  • Alpharetta, GA
National Provider Identifier
1215786280
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HOWARD ADULT HEALTH & WELLNESS
Practice address
3070 Windward PLZ Ste F411
Alpharetta, GA 30005-8771
Phone
(504) 237-1675
NPI assigned
May 14, 2024
Last updated
May 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Dominique HowardNPI 1497248520
Title
Owner
Phone
(678) 713-7526

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
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3070 Windward PLZ Ste F411
Alpharetta, GA 30005-8771

Mailing address

3070 Windward PLZ Ste F411
Alpharetta, GA 30005-8771
Phone (504) 237-1675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240624004198 GA Part B Supplier - Clinic/Group Practice 3870036452 Receives reassigned benefits from 1 practitioner
Practice locations: Alpharetta, GA

National Provider Directory

National Provider Directory

Locations

3070 Windward Plz
Ste F411
Alpharetta, GA 30005
Phone (504) 237-1675

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1215786280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 WINDWARD PLZ STE F411",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300058771",
            "telephone_number": "504-237-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 WINDWARD PLZ STE F411",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300058771",
            "telephone_number": "504-237-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD ADULT HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-713-7526"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.