Family Wellness Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FAMILY WELLNESS CENTER LLC

Practice address

3883 Rogers Bridge Rd
Ste 202a
Duluth, GA 30097-2802

Phone

(770) 545-8359

NPI assigned

Jun 30, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Bola K Olateru-Olagbegi

Title

Manager

Phone

(770) 545-8359

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose M Artadi, MD

  • Psychiatry Physician
  • Roswell, GA
  • NPI 1811992787
  Medicare reassignment Care Compare group NPD
• Miata O'Neil, LCSW

  • Clinical Social Worker
  • Stockbridge, GA
  • NPI 1679898662
  Medicare reassignment Care Compare group NPD
• Reginald Drumgoole, R.N.-N.P.

  • Nurse Practitioner
  • Buford, GA
  • NPI 1689743270
  Medicare reassignment NPD
• Otis Samuel Powell Jr., M.D.

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1285654301
  Medicare reassignment NPD

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1225489354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3883 ROGERS BRIDGE RD",
            "address_2": "STE 202A",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300972802",
            "telephone_number": "770-545-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3883 ROGERS BRIDGE RD",
            "address_2": "STE 202A",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300972802",
            "telephone_number": "770-545-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "OLATERU-OLAGBEGI",
        "authorized_official_first_name": "BOLA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-545-8359",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarayn Alessandra Fairlie, MD MPH
• Seema Faiyaz
• April Elizabeth Fallon, LCSW
• Khadija Falloon
• Familee's Pharmacy
• Family Wellness Pharmacy LLC (Saigon Pharmacare)
• Family Wellness Pharmacy LLC (Saigon Pharmacare)
• William Fan
• Alexis Farrington, OTR/L
• Ashia N Fayne, M.S., CCC-SLP

• Community/Behavioral Health Agency in Duluth, GA
• Providers in Duluth, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.