Life Health & Wellness Center, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

LIFE HEALTH & WELLNESS CENTER, LLC

Practice address

1707 North Blairs Bridge Rd
Austell, GA 30168

Phone

(470) 513-3908

Fax

(770) 502-6492

NPI assigned

Jul 1, 2021

Organization subpart

No

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

Authorized official

Name

Natalie McCall-Gaston, APRN-BC

Title

Ceo

Phone

(678) 641-4391

Specialties & licenses 1

Addresses

Other identifiers 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25578/brand/2/csg/1/fhir/r4

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1255901104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 NORTH BLAIRS BRIDGE RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "30168",
            "telephone_number": "470-513-3908",
            "fax_number": "770-502-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 NORTH BLAIRS BRIDGE RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "30168",
            "telephone_number": "470-513-3908",
            "fax_number": "770-502-6492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE HEALTH & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "MCCALL-GASTON",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-641-4391",
        "authorized_official_credential": "APRN-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003137957D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott M. Levere, M.D.
• Michelle Lewis-Simon, FNP
• Antoinette Lewis
• Tara Li, FNP-C
• Shin Long Liao, MD
• Twanda E Lightfoot, PHD
• Mbuomda Nasah Lima, PAAA
• Briana Linton, NP
• Druenell Elia Linton, MD
• Maryann Litchfield, N.P.

• Primary Care Clinic/Center in Austell, GA
• Providers in Austell, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.