Primo Wellness

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PRIMO WELLNESS

Practice address

6742 Jamestown Drive
Alpharetta, GA 30022-3002

Phone

(770) 235-3633

NPI assigned

Feb 8, 2020

Organization subpart

No

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

Authorized official

Name

Tanya Jones, LCSWNPI 1912357377

Title

Owner / Clinician

Phone

(770) 235-3633

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Tanya Jones, LMSW

  • Addiction (Substance Use Disorder) Counselor
  • Johns Creek, GA
  • NPI 1912357377
  NPD (past) Authorized official

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

{
    "created_epoch": "1581120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581120000000",
    "number": "1336771237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 WELWYN WALK",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300227058",
            "telephone_number": "770-235-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6742 JAMESTOWN DRIVE",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300223002",
            "telephone_number": "770-235-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMO WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-08",
        "last_updated": "2020-02-08",
        "certification_date": "2020-02-08",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "OWNER / CLINICIAN",
        "authorized_official_telephone_number": "770-235-3633",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Alpharetta",
            "affiliation": "N",
            "address_1": "6742 Jamestown Drive",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300223002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Social Worker in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2020; 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.