Organization Active NPI

Serenity Bridge Telepsychiatry & Weight Management, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Snellville, GA
National Provider Identifier
1275472599
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SERENITY BRIDGE TELEPSYCHIATRY & WEIGHT MANAGEMENT, LLC
Practice address
2160 Fountain Dr
Snellville, GA 30078
Phone
(470) 236-1785
NPI assigned
Mar 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Stella Thomas, NPNPI 1487292694
Title
Pmhnp, FNP
Phone
(470) 236-1785

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2160 Fountain Dr
Snellville, GA 30078

Mailing address

2274 Salem Rd
Suite 106, #1259
Conyers, GA 30013

National Provider Directory

National Provider Directory
Tax ID family
Serenity Bridge Telepsychiatry Weight Management LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2160 Fountain Dr
Snellville, GA 30078
Phone (770) 982-1111

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": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1275472599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2274 SALEM RD",
            "address_2": "SUITE 106, #1259",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 FOUNTAIN DR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "30078",
            "telephone_number": "470-236-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY BRIDGE TELEPSYCHIATRY & WEIGHT MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "PMHNP, FNP",
        "authorized_official_telephone_number": "470-236-1785",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.