Active NPI
Supreme Standard Wellness LLC
- Peer Specialist
- Lawrenceville, GA
National Provider Identifier
1295645927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Legal business name
- SUPREME STANDARD WELLNESS LLC
- Practice address
- 2231 Hunters Green Dr
Lawrenceville, GA 30043-5182 - Phone
- (317) 453-6323
- Fax
- (317) 799-9896
- NPI assigned
- Sep 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Gianina Walker
- Title
- President
- Phone
- (317) 453-6323
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
2231 Hunters Green Dr
Lawrenceville, GA 30043-5182
Mailing address
2231 Hunters Green Dr
Lawrenceville, GA 30043-5182
Phone (317) 453-6323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788825600000",
"number": "1295645927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2231 HUNTERS GREEN DR",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300435182",
"telephone_number": "317-453-6323",
"fax_number": "317-799-9896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2231 HUNTERS GREEN DR",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300435182",
"telephone_number": "317-453-6323",
"fax_number": "317-799-9896"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPREME STANDARD WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-08",
"last_updated": "2026-09-08",
"certification_date": "2026-09-07",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "GIANINA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "317-453-6323",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.