Positive Balance Wellness Center @ Ben Hill United Methodist Church

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

036661 Issued in GA

Legal business name

POSITIVE BALANCE WELLNESS CENTER @ BEN HILL UNITED METHODIST CHURCH

Practice address

2099 Fairburn Rd SW
Atlanta, GA 30331-4812

Phone

(404) 428-3133

Fax

(404) 344-7810

NPI assigned

Apr 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Angela Patrice Shannon, MDNPI 1285707455

Title

Director

Phone

(404) 346-8264

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

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

• Angela P. Shannon, M.D.

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1285707455
  NPD (past) Authorized official

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1356738447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2099 FAIRBURN RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303314812",
            "telephone_number": "404-428-3133",
            "fax_number": "404-344-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2099 FAIRBURN RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303314812",
            "telephone_number": "404-428-3133",
            "fax_number": "404-344-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE BALANCE WELLNESS CENTER @ BEN HILL UNITED METHODIST CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-346-8264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "GA",
            "license": "036661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000635115E",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "2084P08000X",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00635115D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285707455",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert S Posener, AA
• Drew Lawrence Posey, MD
• James Patrick Posey, D.M.D.
• Jessica Vaughan Posey, FNP-C
• Krysta Jeanette Posid, PT, DPT
• Positive Differences ABA
• Positive Impact, Inc.
• Positive Perseverance Counseling Services
• Positive Transition Service Inc
• Kamryn R Poss, CAA

• Health Service Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Health Service Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.