Organization Active NPI

Synovia Wellness Consulting

  • Clinical Exercise Physiologist
  • Marietta, GA
National Provider Identifier
1346711678
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Exercise PhysiologistTaxonomy code 224Y00000X
Legal business name
SYNOVIA WELLNESS CONSULTING
Doing business as
Synovia Wellness Consulting
Practice address
1001 Whitlock Ave SW Ste C
Marietta, GA 30064-1971
Phone
(478) 714-7076
NPI assigned
Dec 16, 2018
Last updated
Dec 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Authorized official

Name
Anthony BammerNPI 1689175291
Title
Ceo
Phone
(478) 714-7076

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Metabolic Nutrition Registered Dietitian 133VN1006X
Clinical Exercise Physiologist 224Y00000X Primary

Addresses

Primary practice location

1001 Whitlock Ave SW Ste C
Marietta, GA 30064-1971

Mailing address

586 E Lake Dr
Marietta, GA 30062-3875
Phone (478) 714-7076

Other names 1

  • Synovia Wellness Consulting Doing business as

National Provider Directory

National Provider Directory

Locations

1001 Whitlock Ave SW
Ste C
Marietta, GA 30064
Phone (478) 714-7076

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": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1346711678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 E LAKE DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300623875",
            "telephone_number": "478-714-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WHITLOCK AVE SW STE C",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641971",
            "telephone_number": "478-714-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNOVIA WELLNESS CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "BAMMER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-714-7076"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synovia Wellness Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.