Organization Active NPI

Dream Wellness Solutions

Doing business as PeriSteam Atlanta

  • Religious Nonmedical Health Care Institution
  • Decatur, GA
National Provider Identifier
1295327815
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Religious Nonmedical Health Care InstitutionTaxonomy code 282J00000X
Legal business name
DREAM WELLNESS SOLUTIONS
Doing business as
PeriSteam Atlanta
Practice address
2500 Park Central Blvd Ste A1
Decatur, GA 30035-3925
Phone
(844) 478-3267
Fax
(404) 891-8992
NPI assigned
Feb 4, 2021
Last updated
Dec 30, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
DREAM WELLNESS SOLUTIONS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Karen Johnson Davis, H.C. OF WELLNESSNPI 1932710159
Title
Wellness Practioner
Phone
(844) 478-3267

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246Z00000X
Religious Nonmedical Health Care Institution 282J00000X Primary
Non-Pharmacy Dispensing Site 332900000X
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

2500 Park Central Blvd Ste A1
Decatur, GA 30035-3925

Mailing address

3719 Micah CT
Ellenwood, GA 30294-6224
Phone (404) 314-4737

Other names 1

  • PeriSteam Atlanta Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2196151Peristeam Atlanta of Dream Wellness Solutions, Inc2500 Park Central Boulevard, Suite a-1, Decatur, GA 30035Certificate of waiverOct 14, 2026

National Provider Directory

National Provider Directory
Part of
Dream Wellness Solutions

Locations

2500 Park Central Blvd
Ste A1
Decatur, GA 30035
Phone (844) 478-3267

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": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1295327815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 MICAH CT",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302946224",
            "telephone_number": "404-314-4737",
            "fax_number": "404-891-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 PARK CENTRAL BLVD STE A1",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353925",
            "telephone_number": "844-478-3267",
            "fax_number": "404-891-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM WELLNESS SOLUTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DREAM WELLNESS SOLUTIONS, INC.",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "WELLNESS PRACTIONER",
        "authorized_official_telephone_number": "844-478-3267",
        "authorized_official_credential": "H.C. OF  WELLNESS"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PeriSteam Atlanta",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PeriSteam Atlanta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.