Midtown Wellness Group, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MIDTOWN WELLNESS GROUP, INC.

Practice address

1874 Piedmont Ave NE
Suite 390-C
Atlanta, GA 30324-4869

Phone

(786) 246-2531

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Fabian Centeno

Title

President Owner

Phone

(786) 246-2531

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Adedamola Oni, MD

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1124152137
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346313871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1874 PIEDMONT AVE NE",
            "address_2": "SUITE 390-C",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303244869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1874 PIEDMONT AVE NE",
            "address_2": "SUITE 390-C",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303244869",
            "telephone_number": "786-246-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN WELLNESS GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CENTENO",
        "authorized_official_first_name": "FABIAN",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "786-246-2531"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midtown Specialty Group, LLC
• Midtown Surgical Associates, Inc
• Midtown Urology Anesthesia LLC
• Midtown Urology PC
• Midtown Urology Surgical Center, PC
• Midtown West Medical, PC
• Midwest Compression, LLC
• Midwest Medical Associates, Inc.
• Midwest Medical DME Enterprises, LLC
• Midwest Medical DME Services, LLC

• General Practice Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.