Kulani Spa & Wellness, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

KULANI SPA & WELLNESS, LLC

Practice address

300 Argento Dr Apt 2101
McDonough, GA 30253-5237

Phone

(678) 884-6555

Fax

(678) 826-0772

NPI assigned

Sep 7, 2023

Last updated

Dec 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sabina Gabrielle Gordon, NP-CNPI 1326211335

Title

Owner/Provdier

Phone

(678) 884-6555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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.

• Sabina Gabrielle Gordon, FNP-C

  • Family Nurse Practitioner
  • McDonough, GA
  • NPI 1326211335
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1336925080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ARGENTO DR",
            "address_2": "SUITE 2101",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535237",
            "telephone_number": "678-884-6555",
            "fax_number": "678-826-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ARGENTO DR APT 2101",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535237",
            "telephone_number": "678-884-6555",
            "fax_number": "678-826-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KULANI SPA & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "SABINA",
        "authorized_official_middle_name": "GABRIELLE",
        "authorized_official_title_or_position": "OWNER/PROVDIER",
        "authorized_official_telephone_number": "678-884-6555",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in McDonough, GA
• Providers in McDonough, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.